| NPI | 1982977435 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM BASTA Owner 516-676-2878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine |
| Enumeration Date | 2012-02-14 |
| Last Update Date | 2012-02-14 |