| NPI | 1366624793 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY MANN Executive Director 646-230-9292 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Enumeration Date | 2007-11-27 |
| Last Update Date | 2022-07-21 |