| NPI | 1841381191 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES ROBERT POWELL Physician 631-431-5288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 217923) |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2026-01-21 |