| NPI | 1396057881 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ENRIQUE C JINETE Owner/Director 917-864-7706 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 024127-1) |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency (Licence: NY 024127) |
| Enumeration Date | 2010-07-13 |
| Last Update Date | 2017-02-28 |