| NPI | 1154713725 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GIDEON HEDRYCH Owner 718-625-9911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery |
| 208100000X Physical Medicine & Rehabilitation | |
| 208VP0000X Pain Medicine, Pain Medicine | |
| Enumeration Date | 2015-02-19 |
| Last Update Date | 2015-02-19 |