| NPI | 1528448586 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD ALBERT Sole Owner 212-606-1004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery Orthopaedic Surgery of the Spine (Licence: NY 274584) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NY 274584) |
| Enumeration Date | 2015-06-04 |
| Last Update Date | 2016-05-19 |