| NPI | 1194934661 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADRIANA BARONE Office Manager 718-232-2300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 213410) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 202693) |
| 225100000X Physical Therapist | |
| 225X00000X Occupational Therapist | |
| 363A00000X Physician Assistant (Licence: NY 003399) | |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2020-08-22 |