| NPI | 1871833269 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMR A SANDUBY Owner 347-918-8822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NY 219265-2) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 219265-2) |
| Enumeration Date | 2013-02-21 |
| Last Update Date | 2013-02-21 |