| NPI | 1912178385 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH PATRICK TAVERNI President/Physician 516-482-7747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NY 201665) |
| Enumeration Date | 2008-03-13 |
| Last Update Date | 2008-03-13 |