| NPI | 1831464098 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSS T. LYON Surgeon 212-365-8788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: NY 183465) |
| Additional Taxonomies | 208600000X Surgery (Licence: NY 183465) |
| Enumeration Date | 2012-03-20 |
| Last Update Date | 2012-03-20 |