| NPI | 1851123004 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARTHUR KOSTANIAN Member/Owner 718-838-0640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| 207X00000X Orthopaedic Surgery | |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| 213E00000X Podiatrist | |
| 246XC2903X Spec/Tech, Cardiovascular, Vascular Specialist | |
| Enumeration Date | 2024-08-16 |
| Last Update Date | 2024-08-16 |