| NPI | 1992386064 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUDGER ELIACIN President 516-462-6856 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2021-04-19 |
| Last Update Date | 2021-06-05 |