| NPI | 1912366147 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IVAN DARRIO BARAQUE Medical Director 914-376-6100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2016-02-16 |
| Last Update Date | 2016-02-16 |