| NPI | 1114790383 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBIEL RODRIGUEZ Authorized Official 914-314-8479 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2023-10-31 |
| Last Update Date | 2023-11-21 |