| NPI | 1588461032 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PEGGY P BASTIEN Owner 516-476-8353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Enumeration Date | 2025-03-03 |
| Last Update Date | 2025-10-16 |