NPI | 1164436770 |
---|---|
Entity Type | Organization |
Authorized Contact | STEPHEN HOWELL GREEN Partner 631-475-8846 |
Organization Subpart ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: NY 099292) |
Additional Taxonomies | 208600000X Surgery (Licence: NY 101835) |
Enumeration Date | 2006-07-28 |
Last Update Date | 2020-08-22 |