NPI | 1881092336 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL POLCINO Owner/President 631-482-8134 |
Organization Subpart ? | No |
Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: NY 254871) |
Enumeration Date | 2014-12-16 |
Last Update Date | 2014-12-16 |