| NPI | 1851142467 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES RUOTOLO Member 631-766-5846 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine |
| Enumeration Date | 2024-04-01 |
| Last Update Date | 2024-04-01 |