| NPI | 1205121316 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SERGE MENKIN President 201-533-0055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine Interventional Pain Medicine (Licence: NJ 25MA08003800) |
| Additional Taxonomies | 111NR0400X Chiropractor Rehabilitation (Licence: NJ 38MC00495100) |
| 171100000X Acupuncturist (Licence: NJ 25MZ00057300) | |
| 208100000X Physical Medicine & Rehabilitation (Licence: NJ 25MA08003800) | |
| 225100000X Physical Therapist | |
| Enumeration Date | 2011-06-16 |
| Last Update Date | 2017-10-05 |