| NPI | 1225152408 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SERGE KIANOVSKI Clinical Director 718-232-7778 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 016388) |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2020-08-22 |