| NPI | 1578982146 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY KATHLEEN NIX CEO 516-531-2107 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: NY 11-3284153) |
| Enumeration Date | 2014-04-10 |
| Last Update Date | 2016-11-15 |