| NPI | 1790812121 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL A BIANCO Medical Doctor 631-736-3372 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 204408-1) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2020-08-22 |