| NPI | 1245360833 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESUS M. HERNANDEZ President 212-740-2270 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NY 163969) |
| Additional Taxonomies | 208D00000X General Practice (Licence: NY 163969) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2020-08-22 |