| NPI | 1316618192 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDAN SULLIVAN President 917-261-4414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 101Y00000X Counselor |
| 225100000X Physical Therapist | |
| Enumeration Date | 2021-09-22 |
| Last Update Date | 2023-04-14 |