| NPI | 1548735970 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNN M OCONNOR Owner 631-350-6277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery |
| Additional Taxonomies | 208600000X Surgery |
| Enumeration Date | 2018-10-12 |
| Last Update Date | 2024-03-19 |