| NPI | 1598905317 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NORA VIOLA Administrator 631-482-1652 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Additional Taxonomies | 261QE0800X Clinic/Center, Endoscopy |
| Enumeration Date | 2009-03-06 |
| Last Update Date | 2010-06-07 |