| NPI | 1366484750 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT ROTEMAN Medical Director/Owner 631-231-5200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204C00000X Neuromusculoskeletal Medicine, Sports Medicine (Licence: NY 173040) |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2011-10-19 |