| NPI | 1053949248 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC FANAEE CEO 929-444-2535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 207T00000X Neurological Surgery |
| 208100000X Physical Medicine & Rehabilitation | |
| Enumeration Date | 2020-04-01 |
| Last Update Date | 2020-04-01 |