| NPI | 1811102569 |
|---|---|
| Other Name | PETER WARWICK GREEN |
| Entity Type | Organization |
| Authorized Contact | PEGGY OLSSEN Office Manager 631-368-1222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 1431571) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2008-05-16 |