| NPI | 1518236512 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN LANDOW CEO 516-277-2121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: NY 176016) |
| Enumeration Date | 2011-12-20 |
| Last Update Date | 2011-12-20 |