| NPI | 1114486727 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICA MARTIN Owner 718-636-0545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P0010X Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine |
| Enumeration Date | 2019-03-14 |
| Last Update Date | 2019-03-14 |