| NPI | 1952328775 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINCENT J GULFO Owner 845-987-7260 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204C00000X Neuromusculoskeletal Medicine, Sports Medicine (Licence: NY 28567) |
| Additional Taxonomies | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: NY 28567) |
| 208100000X Physical Medicine & Rehabilitation (Licence: NY 28567) | |
| 2081P0004X Physical Medicine & Rehabilitation, Spinal Cord Injury Medicine (Licence: NY 28567) | |
| 2081P0010X Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine (Licence: NY 28567) | |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: NY 28567) | |
| 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine (Licence: NY 28567) | |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2020-08-22 |