| NPI | 1639585706 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH WISNOSKI Sr. VP & Cmo 631-473-1320 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| 261QR0800X Clinic/Center, Recovery Care | |
| 283X00000X Rehabilitation Hospital | |
| Enumeration Date | 2014-07-09 |
| Last Update Date | 2014-07-11 |