| NPI | 1164856654 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STELLA MARIA MANSUKHANI President 718-768-7246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: NY 244907) |
| Enumeration Date | 2013-09-03 |
| Last Update Date | 2013-09-03 |