| NPI | 1366463234 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAYNA MCCAULEY Office Manager 631-864-5440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology |
| Enumeration Date | 2006-07-23 |
| Last Update Date | 2008-12-22 |