| NPI | 1225621717 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | INNA LEVETSENKO Owner 914-376-6100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204C00000X Neuromusculoskeletal Medicine, Sports Medicine |
| Enumeration Date | 2021-02-16 |
| Last Update Date | 2021-02-16 |