| NPI | 1659446854 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL JUDE MAYNARD President 212-774-1985 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 207XX0005X Orthopaedic Surgery, Sports Medicine |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2020-08-22 |