| NPI | 1720147606 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN J. NELSON President 516-922-6546 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: NY 125202) |
| Enumeration Date | 2006-12-07 |
| Last Update Date | 2008-02-05 |