| NPI | 1518516079 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RABIN ROZEHZADEH Member 212-244-7670 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
| 261QP1100X Clinic/Center, Podiatric | |
| 261QR0200X Clinic/Center, Radiology | |
| Enumeration Date | 2019-09-08 |
| Last Update Date | 2019-09-08 |