| NPI | 1902074842 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROY PRASHAD Physician 631-727-0565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: NY 210837) |
| Enumeration Date | 2008-02-13 |
| Last Update Date | 2013-12-05 |