| NPI | 1093863565 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT S. BUDD CEO 631-273-1300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty (Licence: NY 5157205R) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2010-11-17 |