| NPI | 1407310527 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATHEW JAMES Patient Accounts 631-827-8159 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine |
| Enumeration Date | 2019-01-23 |
| Last Update Date | 2019-01-23 |