| NPI | 1114061074 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURIAN JACOBY President 718-621-0336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NY 166878) |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2014-04-17 |