| NPI | 1609522028 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY SUSICK Chief Operating Officer 947-522-3338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2022-02-24 |
| Last Update Date | 2024-02-20 |