| NPI | 1760640619 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER BYRNES Billing Manager 516-482-8220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery Vascular Surgery (Licence: NY 1379781) |
| Enumeration Date | 2008-05-28 |
| Last Update Date | 2011-12-09 |