| NPI | 1073021085 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE BISHOP President 917-755-7649 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine (Licence: NY 244693) |
| Enumeration Date | 2018-01-12 |
| Last Update Date | 2018-01-12 |