| NPI | 1922129360 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAYDA DAVIS Director Of Professional Services 914-681-3146 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2020-08-22 |