| NPI | 1700186814 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EILLEEN MARTINEZ Credentialing Laison 631-482-1355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Additional Taxonomies | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology |
| Enumeration Date | 2010-10-25 |
| Last Update Date | 2010-10-25 |