| NPI | 1932379914 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA PURCELL Office Administrator 631-472-6000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 208138) |
| Enumeration Date | 2008-03-06 |
| Last Update Date | 2008-03-06 |