| NPI | 1023258431 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YISROEL BRODY Director 917-754-6634 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NY 030125) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 016813) |
| 261QX0100X Clinic/Center, Occupational Medicine (Licence: NY 016301) | |
| Enumeration Date | 2009-02-25 |
| Last Update Date | 2013-06-12 |