NPI | 1184503088 |
---|---|
Entity Type | Organization |
Authorized Contact | VALENTIN AVANESSOV President 718-891-7100 |
Organization Subpart ? | No |
Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine |
Enumeration Date | 2025-08-27 |
Last Update Date | 2025-08-27 |