| NPI | 1245251198 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA MOHR Billing Director 631-462-2225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine |
| Enumeration Date | 2006-07-23 |
| Last Update Date | 2008-03-13 |