| NPI | 1730408923 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTHA TSARKALIS Physician 631-265-2222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 251788) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 250691) |
| Enumeration Date | 2010-05-27 |
| Last Update Date | 2010-05-27 |