| NPI | 1174983647 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONICA MARIANNE ROGALSKI Owner 212-289-5668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM |
| Additional Taxonomies | 101Y00000X Counselor |
| 207Q00000X Family Medicine | |
| Enumeration Date | 2016-02-26 |
| Last Update Date | 2016-02-26 |