| NPI | 1780064642 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELENA BORISOVNA PLAVNIK Doctor 631-264-1800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 224376-1) |
| Enumeration Date | 2015-06-05 |
| Last Update Date | 2015-08-12 |