| NPI | 1609302140 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT KIEV EPSTEIN Principal 570-253-1005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: PA MD047523L) |
| Additional Taxonomies | 204R00000X Electrodiagnostic Medicine (Licence: PA MD047523L) |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: PA MD047523L) | |
| Enumeration Date | 2017-05-03 |
| Last Update Date | 2024-08-06 |