| NPI | 1104199942 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAHANSHAH ROOFEH President 516-358-7557 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NY 248529-1) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: NY 235820) |
| 208100000X Physical Medicine & Rehabilitation (Licence: NY A241419) | |
| Enumeration Date | 2012-02-09 |
| Last Update Date | 2012-02-09 |