| NPI | 1699804765 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SURYA R KUMAR Owner 631-207-2078 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2008-02-13 |