| NPI | 1174743017 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SERGEY YAROVOY Physical Therapist 917-749-3971 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 0189691) |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2022-11-27 |