| NPI | 1073054961 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SYED MOHAMMED CEO 917-407-6499 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center Rehabilitation |
| Additional Taxonomies | 2251P0200X Physical Therapist Pediatrics |
| 225XP0200X Occupational Therapist Pediatrics | |
| 235Z00000X Speech-Language Pathologist | |
| Enumeration Date | 2017-03-13 |
| Last Update Date | 2021-12-10 |