| NPI | 1851030167 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ODINAKA NNANNA Owner 203-901-2493 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2022-06-03 |
| Last Update Date | 2023-02-07 |