| NPI | 1194163857 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL HAMNER President 212-260-5999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine (Licence: NY 129993) |
| Additional Taxonomies | 207QS0010X Family Medicine, Sports Medicine (Licence: NY 129993) |
| 204C00000X Neuromusculoskeletal Medicine, Sports Medicine (Licence: NY 129993) | |
| 208100000X Physical Medicine & Rehabilitation (Licence: NY 129993) | |
| 2083S0010X Preventive Medicine, Sports Medicine (Licence: NY 129993) | |
| Enumeration Date | 2013-06-04 |
| Last Update Date | 2013-06-04 |