| NPI | 1003517509 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW WERT Owner 718-332-4747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine |
| Enumeration Date | 2023-03-13 |
| Last Update Date | 2023-03-13 |