| NPI | 1285709014 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK VAYSMAN President 718-333-1024 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: NY 023238) |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2020-08-22 |