| NPI | 1912996703 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRENCE BRADY Administrator 516-827-9845 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology |
| Additional Taxonomies | 207N00000X Dermatology |
| 207R00000X Internal Medicine | |
| 207RC0000X Internal Medicine, Cardiovascular Disease | |
| 207RC0200X Internal Medicine, Critical Care Medicine | |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism | |
| 207RG0100X Internal Medicine, Gastroenterology | |
| 207RG0300X Internal Medicine, Geriatric Medicine | |
| 207RH0003X Internal Medicine, Hematology & Oncology | |
| 207RI0008X Internal Medicine, Hepatology | |
| 207RI0200X Internal Medicine, Infectious Disease | |
| 207RN0300X Internal Medicine, Nephrology | |
| 207RP1001X Internal Medicine, Pulmonary Disease | |
| 207RR0500X Internal Medicine, Rheumatology | |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| Enumeration Date | 2005-10-14 |
| Last Update Date | 2020-08-22 |