| NPI | 1740264332 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL I BERKLEY Administrator 718-448-3210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 207LP2900X Anesthesiology Pain Medicine |
| 207T00000X Neurological Surgery | |
| 2081P2900X Physical Medicine & Rehabilitation Pain Medicine | |
| 2084N0400X Psychiatry & Neurology Neurology | |
| 2085N0700X Radiology Neuroradiology | |
| 225100000X Physical Therapist | |
| 225X00000X Occupational Therapist | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2005-12-06 |
| Last Update Date | 2018-01-16 |