| NPI | 1851367304 |
|---|---|
| Other Name | PROFESSIONAL LIMITED LIABILITY CORP. |
| Entity Type | Organization |
| Authorized Contact | JAY P SLOTKIN President 631-765-1414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| 363AM0700X Physician Assistant, Medical (Licence: NY 23013867) | |
| Enumeration Date | 2006-02-24 |
| Last Update Date | 2012-07-03 |