| NPI | 1053478925 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAM MOLOS Co Owner 718-382-9505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NY 21299) |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2015-03-24 |