| NPI | 1790352300 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL KHAIMOV President 212-404-8070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine |
| 208VP0000X Pain Medicine, Pain Medicine | |
| Enumeration Date | 2021-06-10 |
| Last Update Date | 2024-10-29 |