| NPI | 1427495068 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN BEZACK President 631-499-1298 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: NY 215674) |
| Enumeration Date | 2013-05-22 |
| Last Update Date | 2013-05-22 |