| NPI | 1841213923 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULA ANNE BRUNO Billing Manager 631-864-6891 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: NY 5157204R) |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2010-01-13 |