| NPI | 1528223211 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL BARANOV Owner 718-380-4597 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: NY 021269) |
| Enumeration Date | 2008-07-23 |
| Last Update Date | 2014-09-19 |