| NPI | 1528326063 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL MACNEILL Vice President, Cbo Director 212-731-6802 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2012-05-02 |
| Last Update Date | 2012-05-02 |