| NPI | 1578753075 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUAN C ESPINOZA President 631-231-5070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: NY 224588-1) |
| Enumeration Date | 2007-07-31 |
| Last Update Date | 2015-05-15 |