| NPI | 1013348689 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL JUDE LACQUA Medical Doctor 718-761-3700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: NY 192446) |
| Additional Taxonomies | 2086S0105X Surgery, Surgery of the Hand (Licence: NY 192446) |
| Enumeration Date | 2013-12-09 |
| Last Update Date | 2015-04-09 |