| NPI | 1871634253 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PREM L SAGAR Owner 516-735-5522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 210715) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: NY 202133) |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2008-06-23 |