NPI | 1215219167 |
---|---|
Entity Type | Organization |
Authorized Contact | IRVING GARY RAPHAEL Partner 315-426-0190 |
Organization Subpart ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery |
Additional Taxonomies | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
Enumeration Date | 2011-09-16 |
Last Update Date | 2012-09-24 |