| NPI | 1194358275 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN SILVERSTEIN Practice Manager 631-617-6011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Additional Taxonomies | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine |
| Enumeration Date | 2020-02-18 |
| Last Update Date | 2021-06-25 |