| NPI | 1154722098 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORDAN SUDBERG Owner 718-461-5900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NY 272774-1) |
| Enumeration Date | 2014-09-10 |
| Last Update Date | 2014-09-10 |