| NPI | 1487998886 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANE T KUGACZEWSKI President 631-689-5695 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery (Licence: NY 169901) |
| Enumeration Date | 2012-11-26 |
| Last Update Date | 2012-11-26 |