| NPI | 1821673286 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK J CORONEL Physician / Owner 631-591-3000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Additional Taxonomies | 207L00000X Anesthesiology |
| 207ZC0006X Pathology, Clinical Pathology | |
| Enumeration Date | 2021-03-16 |
| Last Update Date | 2022-12-30 |