| NPI | 1417294406 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIU NIU Physiatrist 718-353-9088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: NY 250671) |
| Enumeration Date | 2013-01-10 |
| Last Update Date | 2013-01-14 |