| NPI | 1801155130 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MUHAMMAD MUSTAFA KHAN President 631-656-6853 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: NY 231492) |
| Enumeration Date | 2012-05-07 |
| Last Update Date | 2012-05-07 |