| NPI | 1588255541 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD HALPER Medical Director 516-792-3315 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 208600000X Surgery |
| Enumeration Date | 2021-02-01 |
| Last Update Date | 2021-02-01 |