| NPI | 1942099742 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PERRY J STEIN Owner/Authorized Official 516-578-7814 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207RG0300X Internal Medicine, Geriatric Medicine | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2025-05-06 |
| Last Update Date | 2025-07-29 |