| NPI | 1619200896 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID B KUGLER Officer 631-265-5501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: NY 154428) |
| Enumeration Date | 2009-09-06 |
| Last Update Date | 2012-09-10 |