| NPI | 1205010527 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IHAB TAHA ELKOUSH Owner 718-756-8979 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: NY 018307) |
| Enumeration Date | 2007-12-21 |
| Last Update Date | 2018-05-23 |