| NPI | 1245888981 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA LETTMAN Office Manager 347-551-3816 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery |
| Enumeration Date | 2019-08-27 |
| Last Update Date | 2019-08-27 |