| NPI | 1699208389 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL MUSTACCHIA Chairman Of Medicine 516-572-6637 |
| Organization Subpart ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2017-04-10 |
| Last Update Date | 2017-04-10 |