NPI | 1619398724 |
---|---|
Entity Type | Organization |
Authorized Contact | EUNI SKYLAR SUK Owner 516-755-5855 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 207Q00000X Family Medicine |
Enumeration Date | 2013-12-17 |
Last Update Date | 2013-12-17 |