| NPI | 1982767752 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY J MOSOMILLO Medical Director 631-661-6611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: NY 185229) |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2010-08-19 |