| NPI | 1407200454 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATHEW JAMES Billing Manager 631-827-8159 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma |
| Enumeration Date | 2016-04-15 |
| Last Update Date | 2016-04-15 |