| NPI | 1437337847 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM L WHYTE Nurse Practitioner 516-488-2662 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282N00000X General Acute Care Hospital (Licence: NY F334779) |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory (Licence: NY F334779) |
| 302R00000X Health Maintenance Organization (Licence: NY F334779) | |
| Enumeration Date | 2008-02-07 |
| Last Update Date | 2008-02-07 |