| NPI | 1467754416 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDRE PANAGOS Owner 212-682-6970 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation Pain Medicine (Licence: NY A220814-1) |
| Additional Taxonomies | 2081P2900X Physical Medicine & Rehabilitation Pain Medicine (Licence: NY A228647-1) |
| Enumeration Date | 2010-11-24 |
| Last Update Date | 2012-10-03 |