| NPI | 1487809232 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD GASALBERTI Delegated Official 718-544-7700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine (Licence: NY 176219) |
| Enumeration Date | 2008-11-20 |
| Last Update Date | 2009-03-23 |