| NPI | 1124434618 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE S WRIGHT Office Manager 516-829-6660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 144077-1) |
| Enumeration Date | 2014-07-07 |
| Last Update Date | 2018-05-02 |