| NPI | 1477743599 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JODI SILVER-SMITH Practice Manager 631-475-3900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2018-11-20 |