| NPI | 1730362153 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOELLEN GATELY Acct Manager 631-732-7426 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 208VP0000X |
| Enumeration Date | 2007-12-07 |
| Last Update Date | 2008-02-14 |