| NPI | 1730584947 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW DAVY Md/Owner 718-287-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation Pain Medicine (Licence: NY 60-189163) |
| Enumeration Date | 2014-10-30 |
| Last Update Date | 2014-10-30 |