NPI | 1154722098 |
---|---|
Entity Type | Organization |
Authorized Contact | JORDAN SUDBERG Owner 646-239-8418 |
Organization Subpart ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NY 272774-1) |
Enumeration Date | 2014-09-10 |
Last Update Date | 2024-11-01 |