| NPI | 1477973824 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SETH GREENKY Md 315-251-3100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 225100000X Physical Therapist | |
| Enumeration Date | 2014-04-24 |
| Last Update Date | 2020-04-13 |