| NPI | 1154474070 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SERGEY ILIYEV Medical Director 646-244-4405 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2020-08-22 |