| NPI | 1487189809 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER KOFINAS President 516-832-0300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: NY 155293) |
| Enumeration Date | 2017-04-23 |
| Last Update Date | 2017-04-23 |