| NPI | 1386750297 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTO MARTIN CONCEPCION President 917-517-5733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant Surgical |
| Additional Taxonomies | 208600000X Surgery |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2009-04-10 |