| NPI | 1285330290 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATIE PYNE Office Manager 631-424-3600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery |
| Additional Taxonomies | 208600000X Surgery |
| Enumeration Date | 2023-02-01 |
| Last Update Date | 2023-03-28 |