| NPI | 1861073512 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINCENT ROCCO POLICASTRO Administrative Officer 631-672-0780 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2021-04-15 |
| Last Update Date | 2021-04-15 |