| NPI | 1588182737 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA FERRER Office Manager 212-988-1136 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NY 218924) |
| Additional Taxonomies | 208600000X Surgery (Licence: NY 263407) |
| 208600000X Surgery (Licence: NY 246950) | |
| Enumeration Date | 2017-09-07 |
| Last Update Date | 2020-05-12 |