| NPI | 1528784634 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA DANDRAIA Director 631-751-3000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Additional Taxonomies | 261QR0200X Clinic/Center Radiology |
| 261QX0200X Clinic/Center Oncology | |
| 261QX0203X Clinic/Center Oncology, Radiation | |
| Enumeration Date | 2022-10-19 |
| Last Update Date | 2023-06-02 |