104100000X
New Rochelle, NY
Specialty
104100000X
Credential
LMSW
NPI
1144198136
838 Pelhamdale Ave, New Rochelle, NY 10801
(914) 576-9600Confirm current license and practice information on the official CMS NPI registry.
View NPI RecordThis surgeon specializes in 104100000x procedures performed in an outpatient ambulatory surgical setting.
NUCC Taxonomy: 104100000X