| NPI | 1619165180 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY LEWIS COLE President 718-261-6366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: NY 141612) |
| Additional Taxonomies | 207RS0010X Internal Medicine, Sports Medicine (Licence: NY 175535) |
| 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: NY 126197) | |
| Enumeration Date | 2007-10-10 |
| Last Update Date | 2007-10-10 |