| NPI | 1164294005 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SINA MENASHEHOFF Do 917-376-9576 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Enumeration Date | 2023-10-24 |
| Last Update Date | 2023-10-25 |