| NPI | 1306263363 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL IGNACIO Physical Therapist 718-823-7676 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NY 011119) |
| Enumeration Date | 2014-03-27 |
| Last Update Date | 2015-05-26 |