| NPI | 1609311794 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLEY WILLBRANDT Director Shared Services 947-522-1911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 1060000070) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 1060000070) |
| 207Q00000X Family Medicine (Licence: MI 1060000070) | |
| 207U00000X Nuclear Medicine (Licence: MI 1060000070) | |
| 207V00000X Obstetrics & Gynecology (Licence: MI 1060000070) | |
| 207X00000X Orthopaedic Surgery (Licence: MI 1060000070) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MI 1060000070) | |
| 208000000X Pediatrics (Licence: MI 1060000070) | |
| 208100000X Physical Medicine & Rehabilitation (Licence: MI 1060000070) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MI 1060000070) | |
| 2085R0001X Radiology, Radiation Oncology (Licence: MI 1060000070) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MI 1060000070) | |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: MI 1060000070) | |
| 208600000X Surgery (Licence: MI 1060000070) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MI 1060000070) | |
| Enumeration Date | 2016-12-27 |
| Last Update Date | 2021-06-09 |