| NPI | 1265661524 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YISROEL PUPKO Sole Proprietor 718-496-7795 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NY 029980) |
| Enumeration Date | 2009-07-08 |
| Last Update Date | 2009-07-08 |