| NPI | 1730590001 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGAN COSTELLO Office Manager 212-388-5050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 111N00000X Chiropractor |
| 171100000X Acupuncturist | |
| 225100000X Physical Therapist | |
| Enumeration Date | 2014-05-08 |
| Last Update Date | 2014-05-08 |