| NPI | 1073735601 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH ANNE DESANTIS Clinician 631-893-0153 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0005X Clinic/Center, Ambulatory Family Planning Facility (Licence: NY F330476-1) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2020-08-22 |