| NPI | 1588761480 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTHA DELGADILLO PILCHMAN Physician/Owner 631-666-9083 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 154767) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2011-02-14 |