| NPI | 1184916835 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BORIS POLONSKIY Director 718-502-5271 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NY 028006) |
| Enumeration Date | 2011-05-12 |
| Last Update Date | 2011-05-12 |