| NPI | 1730336413 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEAN CLAUDE DEMETRIUS Director 718-393-3075 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| 207R00000X Internal Medicine | |
| 2081N0008X Physical Medicine & Rehabilitation, Neuromuscular Medicine | |
| Enumeration Date | 2008-08-25 |
| Last Update Date | 2009-02-03 |