| NPI | 1831318120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN J MCGEE Owner 516-426-8177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: NY 165086) |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2020-08-22 |