| NPI | 1265675235 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONIQUE RENAUD Office Manager Assistant 718-275-2224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2009-04-07 |
| Last Update Date | 2009-04-07 |