| NPI | 1154058188 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIA ALTMANN Director 347-782-4290 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| 261QH0100X Clinic/Center, Health Services | |
| Enumeration Date | 2022-08-01 |
| Last Update Date | 2022-09-07 |