| NPI | 1730106378 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY BIE Chief F Inancial Officer 516-572-6711 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: NY 2908201R) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2008-04-08 |