| NPI | 1295033462 |
|---|---|
| Doing Business As | SUNY DMC@LICH-SURGERY |
| Entity Type | Organization |
| Authorized Contact | MARILYN VIENTOS - SOTIRIADIS COO 718-270-2025 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 2086S0120X Surgery, Pediatric Surgery |
| 2086S0127X Surgery, Trauma Surgery | |
| Enumeration Date | 2011-03-11 |
| Last Update Date | 2013-04-04 |