NPI | 1598344962 |
---|---|
Doing Business As | NONE |
Entity Type | Organization |
Authorized Contact | JEMMRY PANTIN Manager 347-647-0345 |
Organization Subpart ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
Additional Taxonomies | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
2081S0010X Physical Medicine & Rehabilitation, Sports Medicine | |
2081N0008X Physical Medicine & Rehabilitation, Neuromuscular Medicine | |
2081P0301X Physical Medicine & Rehabilitation, Brain Injury Medicine | |
Enumeration Date | 2021-04-05 |
Last Update Date | 2021-04-23 |