| NPI | 1669638540 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARILYN RIVERA Practice Administrator 631-751-2700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: NY 181099) |
| Enumeration Date | 2008-07-31 |
| Last Update Date | 2009-04-09 |