| NPI | 1760733034 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICAROD N SANTIAGO Director 347-909-7041 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Enumeration Date | 2012-09-27 |
| Last Update Date | 2012-09-27 |