| NPI | 1801007281 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANNE MONTGOMERY Practice Mgr. 631-666-0262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: NY 158747) |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2020-08-22 |