| NPI | 1255515375 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAUL AGUILAR Billing Director 212-308-1112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine | |
| Enumeration Date | 2007-12-26 |
| Last Update Date | 2008-02-04 |