NPI | 1790562049 |
---|---|
Entity Type | Organization |
Authorized Contact | SCOTT STREATER CEO 631-813-8398 |
Organization Subpart ? | No |
Primary Taxonomy | 207L00000X Anesthesiology |
Additional Taxonomies | 207LP3000X Anesthesiology, Pediatric Anesthesiology |
Enumeration Date | 2023-09-11 |
Last Update Date | 2023-09-11 |