| NPI | 1811509409 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MITCHELL EHRLICH President 631-255-3110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Enumeration Date | 2020-08-17 |
| Last Update Date | 2024-10-23 |