| NPI | 1801044631 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA R. LESCH Perinatal Nurse Practitioner 631-444-4686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service (Licence: NY F420357) |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: NY F520357) |
| Enumeration Date | 2008-09-04 |
| Last Update Date | 2008-09-04 |