| NPI | 1871972042 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL L NIMAROFF Md 516-472-5700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: NY 401833-1) |
| Enumeration Date | 2015-05-21 |
| Last Update Date | 2015-05-21 |