| NPI | 1144353897 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BORIS GILZON President 718-230-1180 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 011045) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 00145) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2018-06-11 |