| NPI | 1568456747 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERTO ANTONACCI President 631-588-4500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207RA0201X Internal Medicine, Allergy & Immunology | |
| Enumeration Date | 2005-09-02 |
| Last Update Date | 2014-10-07 |