| NPI | 1861401614 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARIN WIGGINS Authorized Official 631-726-8476 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207PE0004X Emergency Medicine, Emergency Medical Services |
| Enumeration Date | 2006-08-07 |
| Last Update Date | 2019-04-24 |