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 |