| NPI | 1982073599 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROMA RAJS-NEPOMNIASHY Medical Director 917-597-9724 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2015-09-24 |
| Last Update Date | 2021-11-10 |