| NPI | 1174681936 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER RONALD NEUMANN Director Npss 516-829-7500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2020-08-22 |