| NPI | 1215389937 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARYAM AGHALAR Physician 917-957-3725 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NY 263923) |
| Enumeration Date | 2016-07-06 |
| Last Update Date | 2022-02-28 |