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 |