| NPI | 1083842413 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARVIN MOY Member 917-886-0394 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NY 250526) |
| Enumeration Date | 2009-06-24 |
| Last Update Date | 2009-06-24 |