| NPI | 1477234474 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TATYANA RABINOVICH Practice Administrator 718-509-9424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery |
| 261QP3300X Clinic/Center, Pain | |
| Enumeration Date | 2023-07-31 |
| Last Update Date | 2023-07-31 |