| NPI | 1508130402 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLENE M SCHEIM Medical Director 516-442-4077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2012-02-24 |
| Last Update Date | 2012-02-24 |