| NPI | 1568807550 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKHAIL SHAPIRO Medical Director 646-207-0046 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NJ 25MB07640400) |
| Enumeration Date | 2013-05-03 |
| Last Update Date | 2013-05-03 |