| NPI | 1316349095 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORDAN SUDBERG Owner 646-239-8418 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: NY 272774) |
| Enumeration Date | 2014-09-24 |
| Last Update Date | 2024-11-01 |