| NPI | 1801031919 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIRAN N BATHEJA Assistant VP 718-604-5578 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 202704) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: NY 184245) |
| 208100000X Physical Medicine & Rehabilitation (Licence: NY 167289) | |
| 103TC0700X Psychologist, Clinical (Licence: NY 007809) | |
| 208100000X Physical Medicine & Rehabilitation (Licence: NY 197828) | |
| 208VP0000X Pain Medicine, Pain Medicine (Licence: NY 220673) | |
| Enumeration Date | 2008-12-04 |
| Last Update Date | 2008-12-09 |