| NPI | 1215454905 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAFTALI TYBERG Genarel Manager 347-988-5822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: NJ 25MA04527600) |
| Enumeration Date | 2017-08-24 |
| Last Update Date | 2017-08-24 |