| NPI | 1760661763 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICIA RUSSELL CARTER Prseident 212-265-9803 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: NY 214129) |
| Enumeration Date | 2007-10-26 |
| Last Update Date | 2007-10-26 |