| NPI | 1326777228 |
|---|---|
| Other Name | N/A |
| Entity Type | Organization |
| Authorized Contact | DANYAL NAWABI Owner 917-460-6774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine |
| Enumeration Date | 2022-06-07 |
| Last Update Date | 2022-06-13 |