| NPI | 1548513674 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE C BUCK-HASKIN Medical Director 516-482-6100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: NY 4615) |
| Enumeration Date | 2012-10-26 |
| Last Update Date | 2012-10-26 |