| NPI | 1265758486 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN L LETOURNEAU Owner 631-473-4200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: NY 197047) |
| Enumeration Date | 2010-04-13 |
| Last Update Date | 2012-12-03 |