| NPI | 1386020766 |
|---|---|
| Other Name | BREAST SURGERY |
| Entity Type | Organization |
| Authorized Contact | JEFFREY KRUGER VP Finance 845-475-9635 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086X0206X Surgery Surgical Oncology |
| Enumeration Date | 2015-08-07 |
| Last Update Date | 2015-08-07 |