| NPI | 1720526999 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW KALTER Owner/Medical Director 631-361-5300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: NY 238307) |
| Enumeration Date | 2017-02-07 |
| Last Update Date | 2017-02-07 |