| NPI | 1740523075 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ESTHER A SUMITRA-ALBERT Medical Director 631-343-7600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 223344) |
| Enumeration Date | 2013-04-04 |
| Last Update Date | 2014-01-24 |