| NPI | 1093504987 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT NELSON Billing Supervisor 212-935-1700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X |
| Additional Taxonomies | 111N00000X Chiropractor |
| 171100000X Acupuncturist | |
| 225100000X Physical Therapist | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2025-05-06 |
| Last Update Date | 2025-05-06 |