| NPI | 1063278299 |
|---|---|
| Other Name | BLOOMING GROVE TURNPIKE AT 219 |
| Entity Type | Organization |
| Authorized Contact | JESSICA VARONA Senior Application Analyst 914-378-6148 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Enumeration Date | 2024-02-26 |
| Last Update Date | 2024-02-26 |