| NPI | 1043884687 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER SHERMAN Owner 718-432-1323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine |
| Additional Taxonomies | 171100000X Acupuncturist |
| 225700000X Massage Therapist | |
| Enumeration Date | 2021-05-18 |
| Last Update Date | 2023-11-06 |