| NPI | 1558592147 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM COSMO PADULA M.D. President 631-789-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2009-07-31 |
| Last Update Date | 2023-03-07 |