| NPI | 1508390162 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICARDO FRANCISCO ROCA President/Owner 914-563-7342 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical |
| Enumeration Date | 2017-04-20 |
| Last Update Date | 2017-04-20 |