| NPI | 1023822244 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EBENEZER A AWOLESI Owner 718-909-4660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center Rehabilitation |
| Additional Taxonomies | 251E00000X Home Health |
| 261QP2000X Clinic/Center Physical Therapy | |
| Enumeration Date | 2025-02-06 |
| Last Update Date | 2025-02-06 |