NPI | 1366704009 |
---|---|
Entity Type | Organization |
Authorized Contact | WILLIAM BOLLENGIER Owner 845-454-9955 |
Organization Subpart ? | No |
Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) |
Enumeration Date | 2012-06-08 |
Last Update Date | 2012-06-08 |