| NPI | 1760897607 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD C MALESKI Director/Officer 631-740-9181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 252087) |
| Enumeration Date | 2014-06-30 |
| Last Update Date | 2014-06-30 |