| NPI | 1306517149 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELLE MAGRINI President 631-827-5549 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080S0010X Pediatrics, Sports Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2021-09-22 |
| Last Update Date | 2021-09-22 |