| NPI | 1639416746 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULINE RAITSES Owner 718-975-2910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: NY 264999) |
| Enumeration Date | 2013-01-09 |
| Last Update Date | 2015-01-14 |