| NPI | 1548555493 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID HOANG DUONG President 631-487-2800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NY 248528) |
| Enumeration Date | 2011-06-17 |
| Last Update Date | 2019-12-10 |