| NPI | 1720386063 |
|---|---|
| Doing Business As | SUNY DMC@LIC-REHABILITATION MEDICINE |
| Entity Type | Organization |
| Authorized Contact | MARILYN VIENTOS - SOTIRIADIS COO 718-270-2025 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner |
| Enumeration Date | 2011-03-10 |
| Last Update Date | 2013-04-04 |