| NPI | 1952508251 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENN DOUGLAS ARVAN President 631-661-0202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NY 120185) |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2020-08-22 |