| NPI | 1427691286 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KETAN D. VORA Owner 347-878-2225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Enumeration Date | 2019-10-24 |
| Last Update Date | 2019-10-24 |