| NPI | 1396834750 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK LETTERA Vice President Finance 631-473-1320 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2007-08-24 |