| NPI | 1811440456 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANJACQUES MBABUIKE President 646-559-0585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: NY 237589-1) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NY 263896) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 237589-1) | |
| 208VP0000X Pain Medicine, Pain Medicine (Licence: NY 263896) | |
| Enumeration Date | 2016-08-01 |
| Last Update Date | 2020-09-15 |