| NPI | 1306997531 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENN JAKOBSEN Owner 718-441-5700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NY 197596) |
| Enumeration Date | 2007-01-15 |
| Last Update Date | 2020-08-22 |