| NPI | 1730767096 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE MOLINA Director 914-376-6100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM |
| Additional Taxonomies | 2084P2900X Psychiatry & Neurology, Pain Medicine |
| Enumeration Date | 2021-03-30 |
| Last Update Date | 2021-03-30 |