| NPI | 1053615252 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID HARRIS GODFRIED Owner 516-439-4766 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: NY 006051) |
| Enumeration Date | 2011-01-03 |
| Last Update Date | 2011-01-03 |