| NPI | 1306141668 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN WONG President 1516-755-5855 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204C00000X Neuromusculoskeletal Medicine, Sports Medicine |
| Enumeration Date | 2011-01-18 |
| Last Update Date | 2011-01-18 |