| NPI | 1134634645 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN VON LINTIG Chief Operating Officer 631-503-1400 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine |
| Enumeration Date | 2017-12-06 |
| Last Update Date | 2021-03-17 |