| NPI | 1851466320 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YULIYA VINOKUROVA President 718-259-6666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204C00000X Neuromusculoskeletal Medicine, Sports Medicine (Licence: NY 210853) |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2020-08-22 |