| NPI | 1861821787 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH A LOUIS President 516-280-2022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 208800000X Urology |
| Enumeration Date | 2013-11-02 |
| Last Update Date | 2013-11-02 |