| NPI | 1073996534 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOUNG MI LEE President 718-845-8325 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NY 028079) |
| Enumeration Date | 2015-07-02 |
| Last Update Date | 2024-06-19 |