| NPI | 1467686949 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUIGI M CAPOBIANCO President 516-759-1776 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: NY 174738) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 174738) |
| 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: NY 174738) | |
| 207R00000X Internal Medicine (Licence: NY 205804) | |
| Enumeration Date | 2009-05-12 |
| Last Update Date | 2009-05-12 |