| NPI | 1245504190 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELAINE LIU Manager 718-961-8823 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) (Licence: NY 130031) |
| Enumeration Date | 2012-02-23 |
| Last Update Date | 2012-02-23 |