| NPI | 1730626748 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD STEPHEN BLUME President 631-754-8576 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: NY 168917) |
| Enumeration Date | 2017-01-28 |
| Last Update Date | 2017-01-28 |