| NPI | 1306044649 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRAMILA KUMARI KOLISETTY Physician 718-644-4529 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NY 240104) |
| Enumeration Date | 2007-07-09 |
| Last Update Date | 2011-03-31 |