| NPI | 1053859207 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIAM ABDELAZIM IBRAHIM Physical Therapist 518-353-9379 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NY 040926) |
| Enumeration Date | 2017-02-08 |
| Last Update Date | 2017-02-08 |