| NPI | 1528025459 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WINIFRED MACK CFO 631-968-9000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 208000000X Pediatrics | |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2007-10-09 |