| NPI | 1639402092 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS F. JAN President 516-541-1064 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NY 204322-1) |
| Additional Taxonomies | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: NY 204322-1) |
| Enumeration Date | 2009-09-16 |
| Last Update Date | 2009-09-16 |