| NPI | 1073937579 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORDAN A SIMON Mbr 845-262-5313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery |
| Enumeration Date | 2014-02-05 |
| Last Update Date | 2016-12-16 |