| NPI | 1235790015 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARIEL LEACH Biller 516-743-9450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic |
| Enumeration Date | 2019-06-24 |
| Last Update Date | 2019-12-17 |