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 |