| NPI | 1588813190 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY MARCANTONIO Billing Manager 516-665-9531 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology |
| Enumeration Date | 2008-09-18 |
| Last Update Date | 2008-09-26 |