NPI | 1043626435 |
---|---|
Entity Type | Organization |
Authorized Contact | SANJEEV AGARWAL Owner 631-486-9100 |
Organization Subpart ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
Additional Taxonomies | 305S00000X Point of Service (Licence: NY 2439891) |
Enumeration Date | 2014-07-07 |
Last Update Date | 2019-01-03 |