| NPI | 1740514389 |
|---|---|
| Doing Business As | BROOKHAVEN BARIATRIC AND WELLNESS PROGRAM |
| Entity Type | Organization |
| Authorized Contact | CRAIG ORDWAY Owner 631-687-5400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Enumeration Date | 2009-09-30 |
| Last Update Date | 2009-09-30 |