| NPI | 1104031392 |
|---|---|
| Doing Business As | NEW AGE MEDICINE |
| Entity Type | Organization |
| Authorized Contact | YEFIM ISAAK SOSONKIN President 718-787-0333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 208D00000X General Practice |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2020-08-22 |