| NPI | 1528254067 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN L NISSENBAUM President 516-877-4013 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NY 177636) |
| Enumeration Date | 2007-09-19 |
| Last Update Date | 2007-09-19 |