| NPI | 1316093693 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VLADISLAV RUDNER President 718-490-2416 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NY 022504) |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2013-07-30 |