NPI | 1528430162 |
---|---|
Doing Business As | CARLE PLACE FAMILY MEDICINE |
Entity Type | Organization |
Authorized Contact | PHILIP D. RAGNO Co President 516-877-2629 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2015-10-22 |
Last Update Date | 2015-10-22 |