| NPI | 1669626529 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MORTON AIZIC President 631-587-1967 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NY 085638-1) |
| Enumeration Date | 2008-11-05 |
| Last Update Date | 2008-11-05 |