| NPI | 1376929604 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK JOSEPH MOHRMANN Owner 917-450-6986 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 174400000X Specialist |
| 207XS0106X Orthopaedic Surgery, Hand Surgery | |
| 207XX0005X Orthopaedic Surgery, Sports Medicine | |
| 363A00000X Physician Assistant | |
| 363AM0700X Physician Assistant, Medical | |
| 363AS0400X Physician Assistant, Surgical | |
| Enumeration Date | 2015-08-10 |
| Last Update Date | 2019-02-04 |