| NPI | 1881643542 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT KELLMAN Administrator 516-608-6820 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology |
| 207RG0300X Internal Medicine, Geriatric Medicine | |
| 207RP1001X Internal Medicine, Pulmonary Disease | |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2011-03-07 |