| NPI | 1770727935 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA H O'BRIEN Office Administrator 631-941-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: NY 2075821) |
| Enumeration Date | 2009-04-30 |
| Last Update Date | 2009-04-30 |