| NPI | 1598999195 |
|---|---|
| Former Legal Business Name | GENERAL SURGERY AT LICH |
| Entity Type | Organization |
| Authorized Contact | SUZANNE CASDEN Crendialing Manager 516-569-0696 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| Enumeration Date | 2009-05-11 |
| Last Update Date | 2009-05-11 |