| NPI | 1326310152 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MINDY A BREEN Medical Biller 631-968-8400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NY 157345-1) |
| Enumeration Date | 2012-02-09 |
| Last Update Date | 2012-02-09 |