| NPI | 1023289469 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEONARD MAFFUCCI Partner 914-632-9650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NY 168873) |
| Additional Taxonomies | 208600000X Surgery (Licence: NY 130100) |
| Enumeration Date | 2008-03-13 |
| Last Update Date | 2008-03-13 |