| NPI | 1114350626 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HENRY SARDAR Owner 917-660-6008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NJ 25MB08371100) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: NY 242950) |
| Enumeration Date | 2013-08-20 |
| Last Update Date | 2015-02-05 |