| NPI | 1679548671 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN LAWLOR CFO 631-351-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207P00000X Emergency Medicine |
| 208600000X Surgery | |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2025-09-11 |