| NPI | 1568908630 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANA MARIE BAIO Billing Manager 646-740-8484 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 207L00000X Anesthesiology |
| 208VP0000X Pain Medicine, Pain Medicine | |
| Enumeration Date | 2017-01-13 |
| Last Update Date | 2017-11-09 |