| NPI | 1659624336 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SPENCER ADAM COLDEN President 917-796-7674 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Enumeration Date | 2012-10-18 |
| Last Update Date | 2012-10-18 |