| NPI | 1437808219 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL LEVIHAYM Chairman Of Board 516-362-6835 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2022-03-21 |
| Last Update Date | 2022-10-20 |