| NPI | 1871967570 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK L SCHWARTZ President 516-428-2339 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine (Licence: NY 197645-1) |
| Enumeration Date | 2015-11-18 |
| Last Update Date | 2015-11-19 |