| NPI | 1417835034 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS ELWOOD Owner 631-372-8456 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0404X Clinic/Center, Rehabilitation, Cardiac Facilities |
| Enumeration Date | 2025-08-22 |
| Last Update Date | 2025-09-29 |