| NPI | 1295968766 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANSOOR AHMAD KHAN Owner 718-290-3963 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: IN 0106551A) |
| Enumeration Date | 2009-08-31 |
| Last Update Date | 2009-08-31 |