| NPI | 1023411048 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN MICHAEL VENTRUDO Owner 718-769-2521 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NY 242798) |
| Enumeration Date | 2014-10-04 |
| Last Update Date | 2014-10-04 |