| NPI | 1124564687 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IBRAHIM ABDELFATAH Physical Therapist 917-945-5442 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 018280) |
| Enumeration Date | 2017-01-09 |
| Last Update Date | 2017-01-09 |