| NPI | 1104615715 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOLOMON DAVID President 917-370-1291 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care |
| 208C00000X Colon & Rectal Surgery | |
| Enumeration Date | 2025-05-01 |
| Last Update Date | 2025-05-01 |