| NPI | 1659988574 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDRE B DE MOURA CEO 516-357-8777 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic |
| Additional Taxonomies | 204C00000X Neuromusculoskeletal Medicine, Sports Medicine |
| 207X00000X Orthopaedic Surgery | |
| Enumeration Date | 2020-09-24 |
| Last Update Date | 2020-09-30 |