| NPI | 1760097927 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA PRESTON Owner, Presiden, Physician 917-338-1884 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2020-09-14 |
| Last Update Date | 2020-09-14 |