| NPI | 1275602948 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT ALLEN JONES Partner 631-366-4350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: NY 213062) |
| Additional Taxonomies | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine (Licence: NY 213062) |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2020-08-22 |