| NPI | 1801683727 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | MAKSIM SHMARGUN Physical Medicine & Rehabilitation 347-728-4067 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation | 
| Enumeration Date | 2025-04-23 | 
| Last Update Date | 2025-04-23 |