| NPI | 1689980377 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE J BAY Director Of Billing 516-222-2022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NY 145108) |
| Additional Taxonomies | 208600000X Surgery (Licence: NY 142910) |
| Enumeration Date | 2010-08-19 |
| Last Update Date | 2012-09-11 |