NPI | 1699805309 |
---|---|
Doing Business As | LONG BEACH GROUP PRACTICE |
Entity Type | Organization |
Authorized Contact | BARRY STERN CFO 516-897-1212 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist |
Enumeration Date | 2007-03-06 |
Last Update Date | 2013-07-18 |