| NPI | 1821533316 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK ANTHONY LIVECCHI Owner 585-750-5348 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 2081P0004X Physical Medicine & Rehabilitation, Spinal Cord Injury Medicine |
| 2081P0301X Physical Medicine & Rehabilitation, Brain Injury Medicine | |
| Enumeration Date | 2016-12-20 |
| Last Update Date | 2016-12-20 |