| NPI | 1750650941 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EILEEN LEREA Billing Manager 516-872-8235 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: NY 173529) |
| Enumeration Date | 2011-12-19 |
| Last Update Date | 2025-11-19 |