| 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 |