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 |