| NPI | 1104011147 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEAL SMITH President 516-931-2005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: NY 150512) |
| Enumeration Date | 2007-09-12 |
| Last Update Date | 2007-09-12 |