| NPI | 1295165553 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES STALLONE Physician 631-321-4200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: NY 0170968) |
| Enumeration Date | 2013-11-22 |
| Last Update Date | 2013-11-22 |