| NPI | 1669738746 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS TARRICONE Owner 516-678-4000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: NY 176675) |
| Enumeration Date | 2012-04-03 |
| Last Update Date | 2012-04-03 |