| NPI | 1194826420 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNN SCANZANI Practice Administrator 631-862-3538 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2022-06-06 |