NPI | 1942719570 |
---|---|
Entity Type | Organization |
Authorized Contact | MATHEW JAMES Patient Accounts 631-827-8159 |
Organization Subpart ? | No |
Primary Taxonomy | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery |
Enumeration Date | 2017-09-27 |
Last Update Date | 2017-09-27 |