| NPI | 1659564383 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE RAINONE Practice Manager 631-360-3442 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: NY 152584) |
| Enumeration Date | 2007-08-27 |
| Last Update Date | 2008-10-01 |