| NPI | 1750332128 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE M. MODEL Director 845-354-6700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NY 1487973) |
| Additional Taxonomies | 261QP3300X Clinic/Center, Pain (Licence: NY 135753) |
| 111N00000X Chiropractor (Licence: NY x0110912) | |
| 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine (Licence: NY 1487973) | |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: NY 1487973) | |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2025-09-11 |