| NPI | 1114972957 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VLADIMIR GRESSEL Medical Director 718-275-0900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine |
| 207RC0000X Internal Medicine, Cardiovascular Disease | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2020-08-22 |