| NPI | 1083173595 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA NIELI Credentialing Manager 914-376-6100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2019-03-14 |
| Last Update Date | 2019-03-14 |