| NPI | 1124105705 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA A DI BELLA-PRICE Nurse Practitioner/First Assist 631-246-6100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: NY 302541) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2020-08-22 |