| NPI | 1932721065 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA NIELI Credentialing Manager 914-376-6100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine |
| Enumeration Date | 2020-05-12 |
| Last Update Date | 2020-05-12 |