| NPI | 1356576482 |
|---|---|
| Doing Business As | SOA MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | RONALD KRINICK Owner 212-513-7711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 143060) |
| Enumeration Date | 2009-05-19 |
| Last Update Date | 2010-06-22 |