| NPI | 1093196719 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH P JOHNSON CEO 917-841-3931 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: NY 211734) |
| Enumeration Date | 2015-06-18 |
| Last Update Date | 2015-06-18 |