| NPI | 1912221680 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKE MENELAOS PAPPAS Owner 516-294-4590 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081N0008X Physical Medicine & Rehabilitation, Neuromuscular Medicine (Licence: NY 2220591) |
| Additional Taxonomies | 2081P0004X Physical Medicine & Rehabilitation, Spinal Cord Injury Medicine (Licence: NY 2220591) |
| Enumeration Date | 2010-03-24 |
| Last Update Date | 2010-03-24 |