| NPI | 1750718607 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRENE ZIDE Owner 516-371-0517 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: NY 151719) |
| Enumeration Date | 2013-10-07 |
| Last Update Date | 2013-10-07 |