| NPI | 1821112327 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OCTAVIAN GHEORGHE AUSTRIACU President 631-957-0066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 2248091) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2007-10-02 |