Registry details
Type
Organization
Primary specialty
Family Medicine, Adult Medicine
Enumerated
Oct 27, 2005
License(s)
223039 (NY)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 650 CENTRAL AVE SUITE A | Cedarhurst, NY 11516-2301 | 516-295-1924 |
| LOCATION | 650 CENTRAL AVE SUITE A | Cedarhurst, NY 11516-2301 | 516-295-1924 |
Watch this provider
Get a webhook/email the day this provider is added to the OIG-LEIE exclusion list or appears in an FDA enforcement action.