| 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 |