| NPI | 1518139393 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE I RODRIGUEZ-OSPINA Medical Director 631-665-4392 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 177471) |
| Enumeration Date | 2008-04-01 |
| Last Update Date | 2008-10-16 |