Organization
SLRHC FACULTY PRACTICE - ORTHOPEDICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAUL AGUILAR (BILLING DIRECTOR)
(212) 308-1112
Entity
Organization
Contact information
Practice address
1000 10TH AVE, NEW YORK, NY 10019-1147
(212) 636-3800
(212) 523-7575
Mailing address
PO BOX 95000-2881, ORTHO PA GROUP, PHILADELPHIA, PA 19195-2881
(212) 308-1112
(212) 308-1616
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XS0117X
Orthopaedic Surgery of the Spine Physician
—
—
363AS0400X
Surgical Physician Assistant
—
—
Other
Enumeration date
12/26/2007
Last updated
02/04/2008
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