| NPI | 1093254948 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER MICHAEL LITRENTA President 917-628-3221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine |
| Additional Taxonomies | 111NS0005X Chiropractor, Sports Physician |
| 171100000X Acupuncturist | |
| 2251S0007X Physical Therapist, Sports | |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2017-02-13 |
| Last Update Date | 2017-02-13 |