| NPI | 1922423771 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRINA KOVALEVA Md 718-333-1025 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NY 223507) |
| Enumeration Date | 2014-03-03 |
| Last Update Date | 2017-01-20 |