| NPI | 1063427706 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE TORRE Director 516-622-7405 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: NY 2963201R) |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2024-08-19 |