| NPI | 1689840787 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEWIS BASS President 516-625-1944 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 124814) |
| Additional Taxonomies | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: NY 124814) |
| Enumeration Date | 2008-05-08 |
| Last Update Date | 2008-05-08 |