| NPI | 1932321882 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL BERMANSKI Medical Director 631-385-8677 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: NY 5153208R) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2015-04-30 |