| NPI | 1396813184 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLIN GAINES VP 212-957-1930 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NY 176407) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NY X009347) |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2022-03-29 |