| NPI | 1295714277 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN BIASETTI Partner 631-928-2002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: NY 09600) |
| Enumeration Date | 2006-01-10 |
| Last Update Date | 2020-08-22 |