| Organization Name: | BACK AND BODY MEDICAL |
| NPI Number: | 1275903999 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MILLA ZILBERBERG (ACUPUNCTURIST) |
| Mailing Address: | 133 E 58th St Ste 708 New York |
| State: | NY US |
| Postal Code: | 100221133 |
| Phone Number: | 2123712000 |
| Fax Number: | 2123712250 |
| NPI Enumeration Date: | 10/07/2015 |
| NPI Last Update Date: | 10/07/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 002367-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |