| NPI | 1083033203 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNY MARTIN President 917-291-0821 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NY 255391) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: NY 255391) |
| Enumeration Date | 2014-04-15 |
| Last Update Date | 2019-01-04 |