| NPI | 1669079109 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARTHUR YUSHUVA Physician 347-239-8882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2020-10-07 |
| Last Update Date | 2020-10-07 |