| NPI | 1770327702 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK COCKBURN Owner 914-310-0926 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine |
| Enumeration Date | 2024-06-24 |
| Last Update Date | 2024-06-24 |