| NPI | 1073163499 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLEN HIDALGO President 212-328-9444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 111N00000X Chiropractor |
| Enumeration Date | 2019-09-17 |
| Last Update Date | 2019-09-17 |