| NPI | 1629671185 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE L CUSACK Senior Vice President & CFO 516-321-6058 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 207XX0005X Orthopaedic Surgery, Sports Medicine |
| Enumeration Date | 2020-11-18 |
| Last Update Date | 2020-11-18 |