| NPI | 1740063478 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUAN DELACRUZ President 646-580-1876 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Enumeration Date | 2023-08-16 |
| Last Update Date | 2023-08-16 |