| NPI | 1528282464 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIANNA TORRE Physician Assistant 347-219-0597 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: NY 011567) |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2020-08-22 |