| NPI | 1679903470 |
|---|---|
| Doing Business As | MELVILLE SC ANESTHESIA |
| Entity Type | Organization |
| Authorized Contact | DANIEL FORSBERG Executive Director 631-293-9700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: NY 5153209R) |
| Enumeration Date | 2013-11-15 |
| Last Update Date | 2013-11-15 |