| NPI | 1790248086 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARET DUIGNAN President 631-786-5429 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Additional Taxonomies | 261QC1500X Clinic/Center, Community Health |
| 261QC1800X Clinic/Center, Corporate Health | |
| 302R00000X Health Maintenance Organization | |
| Enumeration Date | 2019-04-12 |
| Last Update Date | 2019-04-12 |