| NPI | 1528215068 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL W. WILEN Owner 718-238-6518 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: NY 184405) |
| Enumeration Date | 2008-08-27 |
| Last Update Date | 2008-09-05 |