NPI | 1104096049 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVE M HANNIGAN Manager Of Physicians Bill 631-224-8533 |
Organization Subpart ? | No |
Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology |
Additional Taxonomies | 208600000X Surgery |
Enumeration Date | 2008-03-06 |
Last Update Date | 2008-04-28 |