| NPI | 1811174519 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD MICHAEL CONDON President 631-462-2200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: NY 127245) |
| Enumeration Date | 2008-01-24 |
| Last Update Date | 2013-07-12 |