| NPI | 1598265266 |
|---|---|
| Former Legal Business Name | KINGS HIGHWAY ORTHOPEDICS |
| Entity Type | Organization |
| Authorized Contact | DAVID J COOPER Chief Executive Officer 516-622-6196 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Enumeration Date | 2018-02-19 |
| Last Update Date | 2018-02-19 |