| NPI | 1831379395 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETH PISCITELLI Practice Manager 516-897-5000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: NY 152926) |
| Enumeration Date | 2007-11-13 |
| Last Update Date | 2007-11-13 |