| NPI | 1649948233 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATY MELISSA CRISAFI Sole Proprietor 617-817-7444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant |
| Additional Taxonomies | 305S00000X Point of Service |
| Enumeration Date | 2021-08-31 |
| Last Update Date | 2022-02-15 |