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 |