| NPI | 1487786331 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID PERNA Clinic Manager 212-838-1500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0600X (Licence: NY 102007-1) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NY x010423) |
| 204C00000X Neuromusculoskeletal Medicine, Sports Medicine (Licence: NY 102007-1) | |
| 261QP2000X Clinic/Center, Physical Therapy (Licence: NY 027967) | |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2025-09-11 |