| NPI | 1992118491 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZANNE CASDEN Credentialing Manager 516-569-0696 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 248466) |
| Enumeration Date | 2014-06-03 |
| Last Update Date | 2014-12-02 |