| NPI | 1336836808 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARIANNE YANTZ Credentials Coord 516-507-0800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine |
| Enumeration Date | 2023-04-24 |
| Last Update Date | 2023-04-24 |