| NPI | 1457498180 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH GEORGE GREGORACE Medical Director 516-485-5060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine (Licence: NY 198594) |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2020-08-22 |