| NPI | 1861228355 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLINA BLANDON Office Manager 631-376-6075 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease |
| Enumeration Date | 2024-09-11 |
| Last Update Date | 2024-09-11 |