| NPI | 1619167277 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAROLD K. SIROTA President 516-791-5804 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 175418) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 171751) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 582205) | |
| Enumeration Date | 2007-07-30 |
| Last Update Date | 2011-05-05 |