NPI | 1215200076 |
---|---|
Entity Type | Organization |
Authorized Contact | RAVI LOONA President 718-229-2503 |
Organization Subpart ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NY 134105) |
Additional Taxonomies | 305R00000X Preferred Provider Organization |
Enumeration Date | 2012-02-09 |
Last Update Date | 2012-02-09 |