| NPI | 1497260442 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA ROY Practice Manager 631-805-6384 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 213785-1) |
| Enumeration Date | 2017-12-12 |
| Last Update Date | 2017-12-12 |