| NPI | 1508104969 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENFORD NIXON President 516-922-1056 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: NY 173410-1) |
| Enumeration Date | 2013-01-19 |
| Last Update Date | 2013-01-19 |