| NPI | 1275663924 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL M ROTHBERG Owner 718-261-1166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: NY 206300) |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2020-08-22 |