| NPI | 1467780072 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT WILLIAMS Executive Director 631-881-5294 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0006X Clinic/Center, Ambulatory Fertility Facility (Licence: NY F360219-1) |
| Enumeration Date | 2009-11-20 |
| Last Update Date | 2009-11-20 |