| NPI | 1124578307 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IVAN STERN Physical Therapist 347-721-8905 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NY 0116021) |
| Enumeration Date | 2016-10-11 |
| Last Update Date | 2016-10-11 |