| NPI | 1902560964 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARMIAN COHEN President 631-939-2127 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Enumeration Date | 2021-10-26 |
| Last Update Date | 2021-11-08 |