NPI | 1861715831 |
---|---|
Entity Type | Organization |
Authorized Contact | MATTHEW P MOBIUS Owner 631-377-3488 |
Organization Subpart ? | No |
Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine (Licence: NY 0163951) |
Enumeration Date | 2010-03-05 |
Last Update Date | 2012-04-17 |