| NPI | 1649305228 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WINIFRED B. MACK Executive Director 631-968-3000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2008-02-07 |