| NPI | 1932554383 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON M CUELLAR President And Secretary 917-744-9052 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: CA A135554) |
| Enumeration Date | 2016-05-03 |
| Last Update Date | 2016-06-20 |