| NPI | 1104088699 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AHMED DARDEIR Owner 718-616-1966 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NY 022859) |
| Enumeration Date | 2008-06-26 |
| Last Update Date | 2008-06-26 |