| NPI | 1821672957 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAURICE CARPER Administrator 212-241-1941 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Additional Taxonomies | 204E00000X Oral & Maxillofacial Surgery |
| 207L00000X Anesthesiology | |
| 207V00000X Obstetrics & Gynecology | |
| 207Y00000X Otolaryngology | |
| 208200000X Plastic Surgery | |
| 2085R0001X Radiology, Radiation Oncology | |
| 208600000X Surgery | |
| 2086S0120X Surgery, Pediatric Surgery | |
| 2086S0122X Surgery, Plastic and Reconstructive Surgery | |
| 2086S0129X Surgery, Vascular Surgery | |
| 2086X0206X Surgery, Surgical Oncology | |
| 208800000X Urology | |
| 208C00000X Colon & Rectal Surgery | |
| Enumeration Date | 2021-05-05 |
| Last Update Date | 2022-12-15 |