| NPI | 1952347478 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY ALAN GOODMAN Physician Owner 516-681-5801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NY 155706) |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2008-04-16 |