| NPI | 1316026321 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PEDRO SUAREZ Md 631-435-2781 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NY 153548) |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2008-01-10 |