| NPI | 1104902972 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTIN J O'MALLEY Manager 212-606-1579 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2020-08-22 |