| NPI | 1528202058 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLEY ANN JASON Billing Manager 212-906-9062 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 171100000X Acupuncturist |
| 111N00000X Chiropractor | |
| 174400000X Specialist | |
| Enumeration Date | 2009-04-28 |
| Last Update Date | 2009-04-29 |