| NPI | 1073889010 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AHMED FEKRY MAHMOUD Owner/Director 917-573-4309 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 018417) |
| Enumeration Date | 2012-03-23 |
| Last Update Date | 2012-07-19 |