| NPI | 1598039224 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRINA SHPAK Owner 631-271-9151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NY 214682-1) |
| Enumeration Date | 2012-02-27 |
| Last Update Date | 2012-02-27 |