| NPI | 1073909735 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AL MANJOORSA President/ CEO 917-285-2248 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NY 027648) |
| Enumeration Date | 2015-04-09 |
| Last Update Date | 2015-04-09 |