NPI | 1548202070 |
---|---|
Entity Type | Organization |
Authorized Contact | CRAIG B SANDERS CEO 516-683-3900 |
Organization Subpart ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical |
Additional Taxonomies | 207Q00000X Family Medicine |
111N00000X Chiropractor | |
213ES0103X Podiatrist, Foot & Ankle Surgery | |
Enumeration Date | 2006-06-11 |
Last Update Date | 2025-09-11 |