| NPI | 1053325894 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALD GAUGHAN. Owner/Md. 718-220-8293 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NY 183054) |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2015-06-26 |