| NPI | 1093513467 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIMMY CHAN Member 914-471-0667 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2025-03-03 |
| Last Update Date | 2025-03-03 |