| NPI | 1083847834 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH R FRANCIS Owner 631-878-4642 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: NY 174830) |
| Enumeration Date | 2009-08-27 |
| Last Update Date | 2009-08-27 |