| NPI | 1952978355 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL KHAIMOV President 718-521-2424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine |
| 2085R0202X Radiology, Diagnostic Radiology | |
| Enumeration Date | 2021-06-06 |
| Last Update Date | 2023-11-06 |