| NPI | 1760808802 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEONID REYFMAN Director 718-998-9890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Additional Taxonomies | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2014-03-13 |
| Last Update Date | 2024-09-13 |