| NPI | 1043497571 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAVI TIKOO CEO 917-536-8940 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2008-01-28 |
| Last Update Date | 2013-04-04 |