| NPI | 1285931345 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YEVGENIY SAZONOV Member 212-650-1620 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: NY 008590) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 020574) |
| Enumeration Date | 2011-02-24 |
| Last Update Date | 2011-02-24 |