| NPI | 1538543350 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEIDY CABRAL Manager 914-964-4370 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 363AS0400X Physician Assistant Surgical |
| Enumeration Date | 2015-07-10 |
| Last Update Date | 2024-10-02 |