| NPI | 1821348202 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIANNE AMSTER Director Of Bill / Collections 631-379-5284 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: TX P2248) |
| Enumeration Date | 2012-09-13 |
| Last Update Date | 2021-12-22 |