| NPI | 1700824364 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL A SIRRINE Credentialing 631-369-5005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2012-12-11 |