| NPI | 1528201522 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEYAN MA Doctor 212-872-1745 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine (Licence: NY 226971) |
| Enumeration Date | 2009-04-07 |
| Last Update Date | 2009-04-07 |