| NPI | 1881038016 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL BERKLEY CEO/Administrator 718-448-3210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NY 150987-1) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NY 175801-1) |
| 207X00000X Orthopaedic Surgery (Licence: NY 210396-1) | |
| Enumeration Date | 2013-04-18 |
| Last Update Date | 2013-04-18 |