| NPI | 1982035242 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULA SMITH Director 914-376-2967 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery |
| Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology |
| Enumeration Date | 2013-12-11 |
| Last Update Date | 2015-03-19 |