NPI | 1972694651 |
---|---|
Entity Type | Organization |
Authorized Contact | VALERIE MCNAIR Billing Coordinator 845-278-8823 |
Organization Subpart ? | No |
Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine |
Enumeration Date | 2006-09-27 |
Last Update Date | 2020-08-22 |