| NPI | 1932342912 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA BLAIR Manager 212-947-4799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: NY 023019) |
| Enumeration Date | 2009-04-07 |
| Last Update Date | 2009-05-07 |