| NPI | 1902220403 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WAHEED BAKSH CEO 845-325-6504 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: VA 0101254060) |
| Enumeration Date | 2014-02-05 |
| Last Update Date | 2014-02-05 |