| NPI | 1851366850 |
|---|---|
| Doing Business As | CARDIOLOGY DEPARTMENT/EEG |
| Entity Type | Organization |
| Authorized Contact | MICHAEL FAGAN CFO 631-425-4262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Additional Taxonomies | 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2013-09-26 |