| NPI | 1235567546 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEILA S WONG Bs PT 718-357-1620 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: NY 019756) |
| Enumeration Date | 2013-10-23 |
| Last Update Date | 2013-10-23 |