| NPI | 1720229966 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN-MARIE ROZA Chief Financial Officer 631-366-2960 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Enumeration Date | 2009-03-18 |
| Last Update Date | 2009-06-23 |