| NPI | 1174336044 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA DANDRAIA Senior Director Of Credentialing 631-751-3000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208800000X Urology |
| Additional Taxonomies | 2085U0001X Radiology Diagnostic Ultrasound |
| Enumeration Date | 2025-01-27 |
| Last Update Date | 2025-01-27 |