| NPI | 1215428370 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | QUENNIE LADAO-SOTO Owner 914-444-6235 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine (Licence: NY 032114) |
| Enumeration Date | 2018-05-24 |
| Last Update Date | 2020-10-13 |