| NPI | 1578099933 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THANIA LOUISOR Insurance Director 212-952-9355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 111N00000X Chiropractor |
| 171100000X Acupuncturist | |
| 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine | |
| Enumeration Date | 2017-05-04 |
| Last Update Date | 2024-05-30 |