| NPI | 1417630401 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE LEE MCMULLEN Director Of Revenue Cycle Managemen 917-336-7808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2023-08-08 |
| Last Update Date | 2025-12-29 |