| NPI | 1457373169 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MILLIE SCHIFF Director Of Billing 718-670-1651 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery |
| 207XS0106X Orthopaedic Surgery, Hand Surgery | |
| 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery | |
| 207XX0005X Orthopaedic Surgery, Sports Medicine | |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2025-09-11 |