NPI | 1720447709 |
---|---|
Entity Type | Organization |
Authorized Contact | GREGORY S DIFELICE Owner 212-606-1844 |
Organization Subpart ? | No |
Primary Taxonomy | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: NJ 25MA09393500) |
Additional Taxonomies | 207XX0005X Orthopaedic Surgery, Sports Medicine |
Enumeration Date | 2016-02-18 |
Last Update Date | 2024-10-07 |