| NPI | 1174895429 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FARRUQ SIDDIQUI Owner 646-725-8283 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NY 260559) |
| Enumeration Date | 2012-02-02 |
| Last Update Date | 2012-03-23 |