| NPI | 1932819513 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YEVGENIY SOROKIN Owner 718-645-0300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Enumeration Date | 2022-12-05 |
| Last Update Date | 2022-12-05 |