| NPI | 1356716450 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUNNY THAKKAR Director 917-753-6516 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: NJ 40QA01588700) |
| Enumeration Date | 2015-12-01 |
| Last Update Date | 2015-12-01 |