| NPI | 1689862880 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MITCHELL SCOTT MEYERSON Physician/President 631-369-3474 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 183449) |
| Enumeration Date | 2007-10-12 |
| Last Update Date | 2007-10-12 |