| NPI | 1750605028 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SERGEY GABINSKY Owner 718-459-4106 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 199910) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 190703) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 230548) | |
| 225100000X Physical Therapist (Licence: NY 031423) | |
| 225100000X Physical Therapist (Licence: NY 030887) | |
| 225100000X Physical Therapist (Licence: NY 032055) | |
| Enumeration Date | 2010-03-16 |
| Last Update Date | 2010-03-16 |