| NPI | 1932190493 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH A EAGAN Office Manager 518-773-7306 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NY 1162791) |
| Enumeration Date | 2005-11-03 |
| Last Update Date | 2015-03-23 |