| NPI | 1679108914 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVE PUOPOLO President Of The Gove RN Ing Body 631-689-4180 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical |
| Enumeration Date | 2020-03-06 |
| Last Update Date | 2024-12-13 |