NPI | 1275820961 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID M HANNIGAN Physician Billing Mgr 631-465-6213 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
Enumeration Date | 2011-07-01 |
Last Update Date | 2019-11-04 |