| NPI | 1730319377 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SERGEY GABINSKY Owner 845-454-8300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NY 208817) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 199910) |
| Enumeration Date | 2009-07-16 |
| Last Update Date | 2009-07-16 |