| NPI | 1588654636 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTA TECZA Office Manager 718-777-1885 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NY 192054) |
| Additional Taxonomies | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: NY 192054) |
| Enumeration Date | 2005-10-27 |
| Last Update Date | 2008-02-13 |