| NPI | 1720228588 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUCELLE M. DEL ROSARIO Owner 631-427-3300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 162436) |
| Enumeration Date | 2009-03-05 |
| Last Update Date | 2009-03-05 |