| NPI | 1407030828 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABDALLA ISHAG ADAM Medical Director 718-333-0275 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NY 2419811) |
| Enumeration Date | 2007-12-20 |
| Last Update Date | 2007-12-20 |