| NPI | 1609807775 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIKKI SILVA Credentialing Specialist 631-736-4064 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 164652-1) |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2013-09-10 |