| 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 |