| NPI | 1013974476 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN WONG Director 718-874-6779 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NY 0192091) |
| Enumeration Date | 2006-04-28 |
| Last Update Date | 2013-03-05 |