| NPI | 1588675466 |
|---|---|
| Former Legal Business Name | BROOK FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | DANIEL R FERRARA President 631-514-7606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: NY 170935) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY NY215053) |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2009-08-12 |