| NPI | 1942484423 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD J TABERSHAW President 631-665-8790 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Enumeration Date | 2007-12-20 |
| Last Update Date | 2013-09-17 |