| NPI | 1376903351 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN LEONARDO Practice Admin Manager 516-941-1251 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282N00000X General Acute Care Hospital (Licence: NY 240304) |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: NY 240304) |
| Enumeration Date | 2016-03-03 |
| Last Update Date | 2016-03-03 |