| NPI | 1780408047 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRYSTAL INZANO Manager 212-457-0878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Enumeration Date | 2024-11-13 |
| Last Update Date | 2024-11-13 |