| NPI | 1164789582 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRINA KAMENETSKIY Adminitrator 917-697-5558 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: NJ 25MA09005200) |
| Enumeration Date | 2012-04-23 |
| Last Update Date | 2021-02-09 |