| NPI | 1386832913 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IGOR BENEDITSKIY Medical Director 718-576-1212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 204D00000X Neuromusculoskeletal Medicine & OMM |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2012-10-24 |