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 |