| NPI | 1902332588 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA ROY Practice Manager 631-805-6384 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207PE0004X Emergency Medicine, Emergency Medical Services |
| Enumeration Date | 2017-05-03 |
| Last Update Date | 2017-05-03 |