| NPI | 1114100773 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANTE ACEBO CUBANGBANG President 718-461-5900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NY 234017) |
| Enumeration Date | 2007-12-06 |
| Last Update Date | 2010-03-31 |