| NPI | 1902648322 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARIANNE YANTZ Asst Admin 516-507-0800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine |
| Enumeration Date | 2024-06-07 |
| Last Update Date | 2024-06-07 |