| NPI | 1174747513 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIJUN SONG Owner Of The Bussiness 516-294-0329 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NY 226051) |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2020-08-22 |