| NPI | 1063838977 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA FALTO President/CEO 646-825-1040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: NJ 25MP00187000) |
| Enumeration Date | 2014-03-16 |
| Last Update Date | 2022-10-07 |