NPI: 1881110286 · NEW ROCHELLE, NY 10801 · Orthopaedic Surgery Physician · NPI assigned 08/17/2017
| Authorized Official | BASS, MOUZON (AGENT) |
| NPI Enumeration Date | 08/17/2017 |
Other providers sharing the same authorized official: BASS, MOUZON
| Provider | City | State | Total Paid |
|---|---|---|---|
| VIRGINIA UNION UNIVERSITY | RICHMOND | VA | $7K |
| OTTAWA UNIVERSITY | SURPRIZE | AZ | $257.60 |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 125 | $0.00 |