| NPI | 1023556024 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL BERGESON Director Student Health Service 631-632-6740 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1000X Clinic/Center, Student Health |
| Enumeration Date | 2017-02-09 |
| Last Update Date | 2024-04-09 |