| 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 |