NPI | 1851572358 |
---|---|
Entity Type | Organization |
Authorized Contact | STEPHEN SISSELMAN President 516-308-4040 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 216161) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 216154) |
Enumeration Date | 2007-11-26 |
Last Update Date | 2022-10-12 |