| NPI | 1659484129 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STUART ALAN LUSTBERG President/Owner 631-421-4100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 182725) |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2011-12-23 |