| NPI | 1972619245 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKHAIL GLEYZER President 718-366-2281 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 228820) |
| Additional Taxonomies | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: NY 228820) |
| 207QS0010X Family Medicine, Sports Medicine (Licence: NY 228820) | |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: NY 228820) | |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2009-05-06 |