| NPI | 1770931776 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXA BESGEN Credentialing Manager 914-437-5850 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: NY 247315) |
| Enumeration Date | 2016-05-31 |
| Last Update Date | 2016-05-31 |