| NPI | 1609048537 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNE FORMATO Manager 914-476-4343 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NY 1212224) |
| Enumeration Date | 2008-04-01 |
| Last Update Date | 2023-01-11 |