| NPI | 1962897710 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW DOUNEL Physician 718-309-4000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine |
| Enumeration Date | 2015-03-30 |
| Last Update Date | 2020-03-25 |