| NPI | 1932688629 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE LEE CUSACK Senior Vice President & CFO 516-321-6058 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Additional Taxonomies | 207UN0901X Nuclear Medicine, Nuclear Cardiology |
| 363A00000X Physician Assistant | |
| 363AM0700X Physician Assistant, Medical | |
| Enumeration Date | 2018-08-13 |
| Last Update Date | 2022-07-08 |