| NPI | 1639013279 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVELYN ROJAS Office Manager 631-500-9400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic |
| Additional Taxonomies | 207L00000X Anesthesiology |
| 207T00000X Neurological Surgery | |
| Enumeration Date | 2026-04-15 |
| Last Update Date | 2026-04-15 |