| NPI | 1972783348 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY BRASIL-KOLICH President 631-207-4200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 221648) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 238120) |
| Enumeration Date | 2007-11-14 |
| Last Update Date | 2007-11-14 |