| NPI | 1417003898 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAVEL KULIK President 718-704-9909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: NY 224945) |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2010-08-03 |