Provider Demographics
NPI:1922498757
Name:NEW YORK BONE AND JOINT SPECIALISTS OF NJ, LLC
Entity Type:Organization
Organization Name:NEW YORK BONE AND JOINT SPECIALISTS OF NJ, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:MIZHIRITSKY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-759-4553
Mailing Address - Street 1:528 BOULVARD
Mailing Address - Street 2:
Mailing Address - City:KENILWORTH
Mailing Address - State:NJ
Mailing Address - Zip Code:07033
Mailing Address - Country:US
Mailing Address - Phone:212-759-4453
Mailing Address - Fax:212-759-1353
Practice Address - Street 1:528 BOULEVARD
Practice Address - Street 2:
Practice Address - City:KENILWORTH
Practice Address - State:NJ
Practice Address - Zip Code:07033-1657
Practice Address - Country:US
Practice Address - Phone:212-759-4553
Practice Address - Fax:212-759-1353
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-02
Last Update Date:2015-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty