| NPI | 1952976797 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT MANCUSO Owner 917-299-5512 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Enumeration Date | 2021-05-24 |
| Last Update Date | 2021-05-24 |