| NPI | 1508049032 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAHENDER RAO GORIGANTI Member 315-423-4155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NY 210930) |
| Additional Taxonomies | 2081N0008X Physical Medicine & Rehabilitation, Neuromuscular Medicine (Licence: NY 210930) |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: NY 210930) | |
| Enumeration Date | 2007-12-06 |
| Last Update Date | 2008-04-20 |