| NPI | 1699528927 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN CATIGNANI VP Provider Services 947-522-0008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery |
| Enumeration Date | 2024-04-08 |
| Last Update Date | 2024-04-08 |