NPI | 1194750562 |
---|---|
Entity Type | Organization |
Authorized Contact | EDWARD MORDUKHAY President 718-396-1000 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 022991) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 021832) |
225X00000X Occupational Therapist (Licence: NY 013231) | |
Enumeration Date | 2006-07-12 |
Last Update Date | 2020-08-22 |