NPI | 1295149524 |
---|---|
Doing Business As | GARDEN STATE PEDIATRIC SURGERY |
Entity Type | Organization |
Authorized Contact | YI-HORNG LEE CEO 585-704-2588 |
Organization Subpart ? | No |
Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery |
Enumeration Date | 2014-06-14 |
Last Update Date | 2024-01-31 |