| NPI | 1891980710 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAROLD DAVID LEVY President 203-488-7248 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CT 10370) |
| Additional Taxonomies | 207QA0505X Family Medicine Adult Medicine (Licence: CT 10370) |
| 207QG0300X Family Medicine Geriatric Medicine (Licence: CT 10370) | |
| Enumeration Date | 2007-09-13 |
| Last Update Date | 2007-09-13 |