| NPI | 1881961944 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIGUEL VARGAS President 631-979-8508 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: NY 213808-1) |
| Enumeration Date | 2011-11-17 |
| Last Update Date | 2011-11-18 |