| NPI | 1881824308 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDY R STEPHAN Partner 212-962-2262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NY 032554) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NY X008751) |
| Enumeration Date | 2009-07-17 |
| Last Update Date | 2015-06-15 |