| NPI | 1659806966 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXA BESGEN Administrator 914-437-5850 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: NJ 25MA08550000) |
| Enumeration Date | 2017-04-24 |
| Last Update Date | 2017-04-24 |