| NPI | 1205180544 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE M BAYNER Owner 718-275-5400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: NY 231488) |
| Enumeration Date | 2012-11-08 |
| Last Update Date | 2012-11-08 |