| NPI | 1558658989 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEMETRIUS CHRISTOS ZODIATIS CEO Of Corporation 631-751-7588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: 119465) |
| Enumeration Date | 2011-07-06 |
| Last Update Date | 2011-07-06 |