| NPI | 1699930925 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGER G MAZLEN President/Owner 516-869-0717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 0925861) |
| Enumeration Date | 2008-07-25 |
| Last Update Date | 2008-07-25 |