| NPI | 1598061046 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RORY S BREIDBART Manager Partner 516-482-0347 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: NY 175465) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 1754665) |
| Enumeration Date | 2011-02-01 |
| Last Update Date | 2015-10-28 |