| NPI | 1407190580 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AARON ROTH Director 718-336-0212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NY 0334841) |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2012-11-15 |