| NPI | 1255002192 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRIGORY GOLDBERG Md/Owner 516-775-8605 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery Orthopaedic Surgery of the Spine |
| Enumeration Date | 2021-09-21 |
| Last Update Date | 2021-09-21 |