| NPI | 1154988079 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALFRED R TAWADROUS Md/Medical Director 347-677-3022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2019-05-27 |
| Last Update Date | 2020-04-06 |