| NPI | 1184859381 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAMON E. RIVERA President 845-517-2870 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NY 232695) |
| Additional Taxonomies | 2086S0127X Surgery Trauma Surgery (Licence: NY 232695) |
| Enumeration Date | 2009-05-18 |
| Last Update Date | 2017-01-09 |