| NPI | 1114182219 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON SZEPOK KONG President 718-551-1401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: NY 246399) |
| Enumeration Date | 2008-07-28 |
| Last Update Date | 2014-12-16 |