| NPI | 1629317623 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW M G DAVY Owner 718-596-2824 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: NY 0189163) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: NY A207878) |
| 225100000X Physical Therapist | |
| Enumeration Date | 2013-02-11 |
| Last Update Date | 2013-04-08 |