| NPI | 1811236680 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID SAMMETT Owner 845-344-4040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NY 204350) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NY 204350) |
| 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine (Licence: NY 204350) | |
| Enumeration Date | 2013-02-13 |
| Last Update Date | 2013-08-13 |