NPI | 1982979639 |
---|---|
Entity Type | Organization |
Authorized Contact | VICTORIA LUNGIN Administrative Assistant 718-715-4114 |
Organization Subpart ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery |
Additional Taxonomies | 174400000X Specialist (Licence: NY 188085) |
Enumeration Date | 2012-03-14 |
Last Update Date | 2024-05-01 |