| NPI | 1831436435 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REUBEN W. IBARRETA Billing Supervisor 212-679-0009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 208D00000X General Practice |
| Enumeration Date | 2013-01-16 |
| Last Update Date | 2013-01-16 |