| NPI | 1760457766 |
|---|---|
| Doing Business As | CARDIOLOGY DEPARTMENT/ EKG |
| Entity Type | Organization |
| Authorized Contact | MICHAEL FAGAN CFO 631-425-4262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology |
| 207UN0901X Nuclear Medicine, Nuclear Cardiology | |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2013-09-26 |