| NPI | 1376949222 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW JOSEPH LEO Physican/Owner 631-423-3897 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: NY 244795) |
| Enumeration Date | 2014-11-04 |
| Last Update Date | 2014-11-04 |