| 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 |