| NPI | 1386476281 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TATYANA RABINOVICH Administrator 718-509-9424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 111N00000X Chiropractor |
| 207X00000X Orthopaedic Surgery | |
| 208100000X Physical Medicine & Rehabilitation | |
| 2085R0202X Radiology, Diagnostic Radiology | |
| 213E00000X Podiatrist | |
| 225100000X Physical Therapist | |
| Enumeration Date | 2024-08-19 |
| Last Update Date | 2024-08-19 |