Organization · NPI-2
154 Medical, P C
Physical Medicine & Rehabilitation, Pain Medicine · Babylon, NY
NPI number1659683605
StatusActive
Last updated in NPPESJul 7, 2010
Details
- NPI
- 1659683605
- Entity type
- Organization (NPI-2)
- Legal business name
- 154 Medical, P C
- Organization subpart
- No
- Enumeration date
- Jul 7, 2010
- Last updated
- Jul 7, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2081P2900X | Physical Medicine & Rehabilitation, Pain Medicine | 1748851 | NY | Yes |
Practice location
98 Park AveBabylon, NY 11702-1709
Phone 631-587-7212
Mailing address
98 Park AveBabylon, NY 11702-1709
Phone 631-587-7212
Authorized official
Jody Greenfield
President
6315877212
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