| NPI | 1487898052 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YURY GEORGE KREMENTSOV M.D. President 212-888-8877 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NY A150827) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NY CERTIFICATE#00384) |
| Enumeration Date | 2009-04-28 |
| Last Update Date | 2009-04-28 |