| NPI | 1154350361 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SERGEY SHELIKHOV Organizer 718-837-7400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner (Licence: NY 186334) |
| Enumeration Date | 2006-07-01 |
| Last Update Date | 2008-04-03 |