| NPI | 1396753554 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE CATHERINE SANTUCCI President 631-258-4858 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NY 225164) |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2020-08-22 |