| NPI | 1932926417 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA DANDRAIA Senior Director 631-751-3000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology |
| Enumeration Date | 2024-09-25 |
| Last Update Date | 2024-09-25 |