NPI | 1922129360 |
---|---|
Entity Type | Organization |
Authorized Contact | SWAHILI HENRY Director Of Provider Enrollment 212-913-0828 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 207X00000X Orthopaedic Surgery |
Enumeration Date | 2007-04-03 |
Last Update Date | 2025-04-04 |