| NPI | 1093836298 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID K FUNT Md 516-295-0404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: NY 145631) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2020-08-22 |