| NPI | 1427773910 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON M CUELLAR President 917-744-9052 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine |
| Enumeration Date | 2022-10-06 |
| Last Update Date | 2022-10-06 |