| NPI | 1083910673 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAED HATTAB Owner 917-224-1398 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: NJ 25MA7800700) |
| Enumeration Date | 2011-01-31 |
| Last Update Date | 2011-01-31 |