| NPI | 1164186326 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIMITRIUS KOSTOPOULOUS Owner 718-707-6970 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 2251E1300X Physical Therapist, Electrophysiology, Clinical |
| Enumeration Date | 2021-10-25 |
| Last Update Date | 2021-10-25 |