| NPI | 1801603576 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH H SHUBIN STEIN Chair 917-453-1081 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0301X Psychiatry & Neurology, Brain Injury Medicine |
| Additional Taxonomies | 207RS0010X Internal Medicine, Sports Medicine |
| 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine | |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| Enumeration Date | 2024-12-16 |
| Last Update Date | 2024-12-16 |