Organization
EMPIRE PHYSICAL MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN MICHAEL WRAITH DC (MEMBER)
(914) 661-8444
Entity
Organization
Contact information
Practice address
221 W GRAND AVE STE 201, MONTVALE, NJ 07645-1729
(845) 694-7570
(201) 945-8873
Mailing address
221 W GRAND AVE STE 201, MONTVALE, NJ 07645-1729
(845) 694-7570
(201) 945-8873
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
171100000X
Acupuncturist
—
—
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
225100000X
Physical Therapist
—
—
225700000X
Massage Therapist
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
08/12/2024
Last updated
08/12/2024
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