| NPI | 1053423517 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARRY D JUPITER President 516-374-6838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 111N00000X Chiropractor |
| 208100000X Physical Medicine & Rehabilitation | |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| 2085R0202X Radiology, Diagnostic Radiology | |
| 225100000X Physical Therapist | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2009-05-06 |