| NPI | 1639216476 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEAN PIOTROWSKI Medical Biller 631-239-1677 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 170100000X Medical Genetics, Ph.D. Medical Genetics (Licence: NY 183593) |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2023-12-21 |