| NPI | 1447498209 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADLEY G BUTE President 631-756-2888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: NY 2441325) |
| Additional Taxonomies | 261QE0800X Clinic/Center, Endoscopy (Licence: NY 2441325) |
| Enumeration Date | 2009-01-30 |
| Last Update Date | 2009-01-30 |