| NPI | 1063216711 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID O'CONNOR Owner 646-379-1200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery Vascular Surgery |
| Additional Taxonomies | 208600000X Surgery |
| Enumeration Date | 2025-04-02 |
| Last Update Date | 2025-04-21 |