| NPI | 1497619951 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID KIM Owner 516-252-3939 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2025-12-10 |
| Last Update Date | 2026-06-01 |