| NPI | 1003591447 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARTHUR KOSTANIAN Member 718-838-0640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 111N00000X Chiropractor |
| 207Q00000X Family Medicine | |
| 207R00000X Internal Medicine | |
| 207X00000X Orthopaedic Surgery | |
| 208100000X Physical Medicine & Rehabilitation | |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine | |
| 2085R0202X Radiology, Diagnostic Radiology | |
| 213E00000X Podiatrist | |
| 225100000X Physical Therapist | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 261QP2300X Clinic/Center, Primary Care | |
| 261QU0200X Clinic/Center, Urgent Care | |
| Enumeration Date | 2023-06-21 |
| Last Update Date | 2023-06-22 |