| NPI | 1841897915 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA NIELI Credentialing Manager 914-376-6100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation Pain Medicine |
| Enumeration Date | 2020-10-02 |
| Last Update Date | 2020-10-02 |