| NPI | 1093409609 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD C KOFFLER Owner 516-744-6933 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Enumeration Date | 2023-06-06 |
| Last Update Date | 2023-06-06 |