| NPI | 1598934580 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD AMOS Account Representative 845-363-4830 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: NY 230497) |
| Enumeration Date | 2008-02-25 |
| Last Update Date | 2008-02-25 |