NPI | 1487808333 |
---|---|
Former Legal Business Name | SUFFOLK AMBULATORY SURGERY FACILITY |
Entity Type | Organization |
Authorized Contact | LYNN PIERRI CEO/President/Oral Surgeon 631-360-0266 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NY 0373331) |
Enumeration Date | 2008-11-05 |
Last Update Date | 2008-11-05 |