NPI 1235574963

Axis Integrative Medical, PC

Organisation Sports Medicine (Neuromusculoskeletal Medicine) Physician Thornwood, NY

Practice location

Address: 879 Commerce St, Thornwood, NY 10594-1415
Phone: (914) 747-9200
Fax: (914) 747-4406

Authorised official

Name: Wilder Rucker
Title: Owner
Phone: (914) 747-9200

Registered specialties

Sports Medicine (Neuromusculoskeletal Medicine) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 204C00000X Licence 264414 (NY)

Other Neuromusculoskeletal Medicine, Sports Medicine providers in New York →

Registry record

NPI: 1235574963
Entity type: Organization
NPI issued: 8 May 2013
Record last updated: 8 May 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.