| NPI | 1265881437 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HENRIETTE KOLE Executive Director 917-716-0383 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: NY 0058031) |
| Enumeration Date | 2016-06-08 |
| Last Update Date | 2016-06-08 |