| NPI | 1427333897 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRONWYN FITZ Medical Director 631-361-7526 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0005X Clinic/Center Ambulatory Family Planning Facility (Licence: NY 0036231) |
| Enumeration Date | 2011-10-18 |
| Last Update Date | 2011-10-18 |