| NPI | 1043372592 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA TROISELODUCA Billing 718-966-6869 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2022-05-09 |