| NPI | 1083918593 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARVIN MOY Owner 917-886-0394 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NY 250526) |
| Enumeration Date | 2010-12-28 |
| Last Update Date | 2010-12-28 |