| NPI | 1871922898 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMED SAMEEN Medical Doctor 631-675-9393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 214732) |
| Enumeration Date | 2013-11-12 |
| Last Update Date | 2015-12-17 |