| NPI | 1922239938 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES CHRISTOPHER MAROTTA Owner/CEO 631-982-2022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2009-08-07 |
| Last Update Date | 2009-08-07 |