| NPI | 1205216322 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THANIA LOUISOR Insurance 212-952-9355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine |
| Additional Taxonomies | 111N00000X Chiropractor |
| 171100000X Acupuncturist | |
| 225100000X Physical Therapist | |
| Enumeration Date | 2015-06-03 |
| Last Update Date | 2015-06-03 |