| NPI | 1801982822 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA SANTIAGO President/Owner 631-732-6984 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 217808) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2014-05-22 |