| NPI | 1558506048 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA ADAM GREENWALD Surgeon 914-761-8667 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: NY 2086S0122X) |
| Enumeration Date | 2008-12-11 |
| Last Update Date | 2008-12-11 |