| NPI | 1942389010 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD DRANITZKE Md 631-473-1602 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NY 099574) |
| Additional Taxonomies | 2086S0129X Surgery Vascular Surgery |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2008-01-22 |