| NPI | 1265746010 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAVIER CHACON President 718-676-1743 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NY 013555) |
| Enumeration Date | 2010-08-04 |
| Last Update Date | 2010-08-04 |