| NPI | 1679146005 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VADIM ZARUBIN Owner 718-648-1234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Enumeration Date | 2021-07-22 |
| Last Update Date | 2021-07-22 |