| NPI | 1174512826 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANJIV BANSAL President 718-515-7800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: NY 191686) |
| Enumeration Date | 2005-10-17 |
| Last Update Date | 2020-08-22 |