| NPI | 1679622112 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WAH LEE Owner 917-204-8780 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: NY 2310351) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: NY 2310351) |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2025-09-11 |