| NPI | 1073793378 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL VR DECOSTA President 718-852-6949 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner (Licence: NY 183780) |
| Enumeration Date | 2007-11-05 |
| Last Update Date | 2013-06-27 |