| NPI | 1487026027 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD WALLERSON Owner 646-884-0133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204R00000X Electrodiagnostic Medicine (Licence: NY 144699) |
| Enumeration Date | 2015-10-22 |
| Last Update Date | 2015-10-22 |