| NPI | 1326716887 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTIAN GALAN Director Of Client Services 631-727-7200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2021-08-31 |
| Last Update Date | 2025-09-24 |