| NPI | 1134864770 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SYED ABBAS MOOSAVI Member 516-761-5083 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Enumeration Date | 2022-04-28 |
| Last Update Date | 2025-07-28 |