| NPI | 1750895900 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA NIELI Credentialing Manager 914-376-6100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RS0010X Internal Medicine Sports Medicine |
| Enumeration Date | 2017-11-27 |
| Last Update Date | 2017-11-27 |