| NPI | 1699948208 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN E HARRISON Medical Director 516-487-1902 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207PE0005X Emergency Medicine, Undersea and Hyperbaric Medicine |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2008-04-04 |
| Last Update Date | 2017-04-13 |