| NPI | 1710281043 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELANIE MAQUINE Medical Director 516-850-8451 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 198062) |
| Enumeration Date | 2010-12-30 |
| Last Update Date | 2010-12-30 |