| 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 |