| NPI | 1194029900 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA FALTO C.O.O. 646-825-1040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: NY 008674) |
| Enumeration Date | 2011-01-08 |
| Last Update Date | 2011-03-11 |