| NPI | 1316121973 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA J FARRELL CFO 631-654-7175 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery |
| Enumeration Date | 2007-12-19 |
| Last Update Date | 2018-01-10 |