| NPI | 1548625288 |
|---|---|
| Doing Business As | RIVERHEAD INTERNAL MEDICINE |
| Entity Type | Organization |
| Authorized Contact | PHILIP RAGNO Co President 516-877-2629 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2015-12-23 |
| Last Update Date | 2016-01-05 |