| NPI | 1932422680 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANTE ACEBO CUBANGBANG President Owner 718-854-8869 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: NY 234017) |
| Enumeration Date | 2010-03-10 |
| Last Update Date | 2013-11-15 |