| NPI | 1548589781 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN C YAO M.D. 631-629-4628 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: NY 204609) |
| Enumeration Date | 2010-05-27 |
| Last Update Date | 2010-05-27 |