| NPI | 1528219359 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL PATRICK HOGAN Practice Manager 516-338-5300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207P00000X Emergency Medicine |
| 207V00000X Obstetrics & Gynecology | |
| 208000000X Pediatrics | |
| 225100000X Physical Therapist | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2008-10-10 |
| Last Update Date | 2008-10-10 |