| NPI | 1730983008 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MITCHELL EHRLICH President 631-255-3110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Enumeration Date | 2025-04-03 |
| Last Update Date | 2025-04-03 |