| NPI | 1447515911 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREI N DOKUKIN President 917-647-5031 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: CA A110631) |
| Enumeration Date | 2012-07-10 |
| Last Update Date | 2019-12-03 |