| NPI | 1871200741 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEELAM MISRA Employee 917-412-9235 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Enumeration Date | 2022-11-01 |
| Last Update Date | 2022-11-01 |