| NPI | 1861802340 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA D LUCKEROTH Medical Director 917-817-2782 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0105X Surgery, Surgery of the Hand (Licence: CA A116738) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA A116738) |
| Enumeration Date | 2014-05-05 |
| Last Update Date | 2014-09-08 |