| NPI | 1134732126 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YANA ABAYEV Medical Director 347-265-5101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Enumeration Date | 2020-08-28 |
| Last Update Date | 2025-05-07 |