| NPI | 1750595427 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVE HANNIGAN Billing Mgr. 631-224-8533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2020-08-22 |