| NPI | 1336326552 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE HOWARD FINE Practice Manager 631-751-6611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: NY NYS-193693) |
| Enumeration Date | 2008-01-30 |
| Last Update Date | 2008-01-30 |