| NPI | 1396828091 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BORIS ZARETSKY Clinical Director 718-646-8700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 0185701) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 019225) |
| 225100000X Physical Therapist (Licence: NY 0242691) | |
| 225100000X Physical Therapist (Licence: NY 0266141) | |
| 225200000X Physical Therapy Assistant (Licence: NY 0054861) | |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2008-10-30 |