| NPI | 1003194275 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT BENNETT KORODY President 347-610-1688 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: NY 004284) |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy (Licence: NY 011620) |
| Enumeration Date | 2011-07-22 |
| Last Update Date | 2011-07-22 |