| NPI | 1528691250 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRYSTYNE OLIVIERI Nurse Practitioner 631-833-3636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2020-02-21 |
| Last Update Date | 2025-11-08 |