| NPI | 1689353609 |
|---|---|
| Doing Business As | ISLAND HEALTH CONCIERGE MEDICINE |
| Entity Type | Organization |
| Authorized Contact | LATIA H ILYADIS Owner 518-763-6969 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2023-07-17 |
| Last Update Date | 2023-07-17 |