| NPI | 1104337120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY GRIFFITHS Sr. Director Of Provider Relations 914-294-4050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine |
| Enumeration Date | 2017-10-17 |
| Last Update Date | 2025-09-16 |