| NPI | 1619372257 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATALIE MARTINO Office Manager 631-343-7144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine |
| Enumeration Date | 2014-10-24 |
| Last Update Date | 2014-10-24 |