NPI | 1760841134 |
---|---|
Entity Type | Organization |
Authorized Contact | MATHEW JAMES Billing Manager 631-827-8159 |
Organization Subpart ? | No |
Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery |
Enumeration Date | 2016-02-15 |
Last Update Date | 2016-02-15 |