| NPI | 1376922542 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SONALI LAL Owner 212-362-4742 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine |
| Additional Taxonomies | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine (Licence: NY 240678) |
| Enumeration Date | 2015-05-21 |
| Last Update Date | 2021-03-06 |