NPI | 1053502724 |
---|---|
Entity Type | Organization |
Authorized Contact | VIKTOR GRIBENKO President 718-946-7967 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: NY 211122) |
Enumeration Date | 2007-08-07 |
Last Update Date | 2007-08-07 |