| NPI | 1407068588 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY L. OSTROW President 212-838-8265 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: NY 135373-1) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 135373-1) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2013-02-13 |