| NPI | 1588815062 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY TERMINI Owner 631-254-4420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine Adult Medicine (Licence: NY 205431) |
| Enumeration Date | 2008-10-02 |
| Last Update Date | 2008-10-02 |