| NPI | 1003254889 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VADIM SURIKOV Director 212-704-4310 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Enumeration Date | 2013-06-13 |
| Last Update Date | 2013-06-13 |