| NPI | 1891682407 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARLENE BRONSTORPH Director, Revenue Cycle 516-719-5755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2025-06-18 |
| Last Update Date | 2025-06-18 |