| NPI | 1811701741 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW SCOTT BERLINER Owner 585-613-1169 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine |
| Enumeration Date | 2025-02-03 |
| Last Update Date | 2025-02-03 |