| NPI | 1093016776 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER GHOSH President 718-239-5178 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 261QP2000X Clinic/Center Physical Therapy | |
| 261QP2300X Clinic/Center Primary Care | |
| 261QR0200X Clinic/Center Radiology | |
| 261QR0400X Clinic/Center Rehabilitation | |
| 332BX2000X Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies | |
| Enumeration Date | 2010-11-10 |
| Last Update Date | 2012-01-18 |