Organization · NPI-2

Dassa Orthopedic Medical Services, P.C.

Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery · Middletown, NY

NPI number1689971434
StatusActive
Last updated in NPPESFeb 14, 2011

Details

NPI
1689971434
Entity type
Organization (NPI-2)
Legal business name
Dassa Orthopedic Medical Services, P.C.
Organization subpart
No
Enumeration date
Feb 14, 2011
Last updated
Feb 14, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery190113NYYes

Practice location

453 State Route 211 E
Middletown, NY 10940

Phone 845-956-1313

Mailing address

7 Carlton Dr
Mount Kisco, NY 10549-4755

Phone 845-956-1313

Authorized official

Gabriel Louis Dassa
President
8459561313

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