| NPI | 1770746513 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT I GINGOLD Sole Proprietor 315-422-6046 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: NY 181243) |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2008-07-02 |