| NPI | 1689872384 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAYETANO C. CO President 845-343-2713 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NY A102761-1) |
| Additional Taxonomies | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: NY A102761-1) |
| Enumeration Date | 2007-07-05 |
| Last Update Date | 2020-08-22 |