| NPI | 1992030662 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAMEN JULIA RODRIGUEZ Physician 516-365-2100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: NY 195330) |
| Enumeration Date | 2009-10-13 |
| Last Update Date | 2017-02-20 |