| NPI | 1669924981 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL R MONFETT Owner/Medical Director 516-294-4590 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: NY 278621-1) |
| Enumeration Date | 2016-11-03 |
| Last Update Date | 2016-11-03 |