| NPI | 1346545076 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH GALLO President 1516-759-7702 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204C00000X Neuromusculoskeletal Medicine, Sports Medicine (Licence: NY 127749) |
| Enumeration Date | 2011-01-11 |
| Last Update Date | 2011-01-11 |