| NPI | 1740861855 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL WINKLER Office Manager 631-476-4000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Enumeration Date | 2021-04-20 |
| Last Update Date | 2021-04-20 |