| NPI | 1043639834 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAZELLE A CRAIG Owner 212-962-2262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NY 252279) |
| Enumeration Date | 2014-04-09 |
| Last Update Date | 2014-04-09 |