| NPI | 1760967723 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH GOFAYZEN Billing Manager 845-450-0214 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery |
| Enumeration Date | 2018-09-26 |
| Last Update Date | 2018-09-26 |