| NPI | 1255632543 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY J VIPOND President 646-872-5215 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: CA A100020) |
| Enumeration Date | 2010-11-03 |
| Last Update Date | 2010-11-03 |