| NPI | 1538410626 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL R MENDOLA President 516-481-5277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2012-09-28 |
| Last Update Date | 2012-09-28 |