| NPI | 1073069670 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VADIM ZARUBIN Md 718-648-1234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Additional Taxonomies | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine |
| 208VP0000X Pain Medicine, Pain Medicine | |
| 225100000X Physical Therapist | |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2019-10-30 |