| NPI | 1265832703 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HANK ROSS Owner 516-883-9393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: NY 163233) |
| Enumeration Date | 2014-09-03 |
| Last Update Date | 2014-09-03 |