| NPI | 1467598169 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZANNE LESLIE MOORE Managing Partner 631-283-3449 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WR0006X Registered Nurse, Registered Nurse First Assistant |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2020-08-22 |