| NPI | 1205717998 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLO LOPEZ HIPOL Practice Manager 718-838-8255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225200000X Physical Therapy Assistant |
| Enumeration Date | 2025-09-09 |
| Last Update Date | 2025-09-09 |