| NPI | 1689324162 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | JOY SHULMAN Owner 845-729-5278  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine | 
| Enumeration Date | 2022-03-27 | 
| Last Update Date | 2022-03-27 |