| NPI | 1619352440 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERTA NATALONI Dr. 631-476-7676 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY 382562) |
| Enumeration Date | 2015-07-22 |
| Last Update Date | 2015-07-22 |