| NPI | 1861696684 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ENRICO SANDRO MANGO President 631-361-4802 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NY 131139) |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2008-01-31 |