| NPI | 1174870059 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EWALD J ANTOINE President 718-758-5544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 213E00000X Podiatrist |
| 225X00000X Occupational Therapist | |
| 225100000X Physical Therapist | |
| 111N00000X Chiropractor | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 208100000X Physical Medicine & Rehabilitation | |
| 208D00000X General Practice | |
| Enumeration Date | 2012-08-09 |
| Last Update Date | 2012-12-12 |