| NPI | 1649494642 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN FREYDA GOLDSTEIN Owner 516-487-5675 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: NY 154564) |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2020-08-22 |