| NPI | 1467438622 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA BOCCI Office Manager 516-887-3516 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 120379,152638,159236) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 147527) |
| 363AM0700X Physician Assistant, Medical | |
| Enumeration Date | 2005-12-20 |
| Last Update Date | 2024-09-24 |