| NPI | 1063871549 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAMAL AZIZ TADROS Owner 347-721-3425 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: NY 196376) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic |
| Enumeration Date | 2016-02-12 |
| Last Update Date | 2016-02-12 |