| NPI | 1700125838 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADLEY WIENER Managing Partner 845-673-1080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: NY 200402) |
| Additional Taxonomies | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: NY 202061) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: NY 430282) | |
| Enumeration Date | 2013-02-08 |
| Last Update Date | 2014-06-06 |