| NPI | 1689825515 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELISSA HOPE RUBIN Sole Proprietor 516-216-5910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NY 230355) |
| Enumeration Date | 2008-10-09 |
| Last Update Date | 2009-04-23 |