| NPI | 1740474899 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK LEWIS ROSS Owner 516-735-8850 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083P0011X Preventive Medicine Undersea and Hyperbaric Medicine (Licence: NY 166768) |
| Enumeration Date | 2007-08-31 |
| Last Update Date | 2007-08-31 |