225200000X
Glendale, NY
Specialty
225200000X
Credential
PTA
NPI
1194685859
8340 Woodhaven Blvd, Glendale, NY 11385
(718) 850-4368Confirm current license and practice information on the official CMS NPI registry.
View NPI RecordThis surgeon specializes in 225200000x procedures performed in an outpatient ambulatory surgical setting.
NUCC Taxonomy: 225200000X