| NPI | 1306021274 |
|---|---|
| Doing Business As | DBA BACK AND BODY MEDICAL |
| Entity Type | Organization |
| Authorized Contact | SHAN SIVENDRA President 212-371-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: NY 245922-1) |
| Enumeration Date | 2008-01-09 |
| Last Update Date | 2010-11-15 |