| NPI | 1679966907 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA L. FOX Medical Director 516-625-6222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: NJ 5634) |
| Enumeration Date | 2015-03-11 |
| Last Update Date | 2015-03-11 |