| NPI | 1568617736 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT GOTLIN Director 646-935-2255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine |
| 225100000X Physical Therapist | |
| Enumeration Date | 2008-12-01 |
| Last Update Date | 2008-12-01 |