| NPI | 1457852840 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE C SANTUCCI President 516-224-4157 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NY 225164) |
| Enumeration Date | 2018-02-22 |
| Last Update Date | 2018-02-22 |