| NPI | 1144538331 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN HARTMANN Practice Administrator 516-328-9800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: NY 207067) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: NY 195038) |
| Enumeration Date | 2010-09-22 |
| Last Update Date | 2010-09-24 |