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 |