| NPI | 1003419557 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE L CUSACK Senior Vice President & CFO 516-321-6058 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
| 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine | |
| Enumeration Date | 2020-11-18 |
| Last Update Date | 2020-11-18 |