| NPI | 1407522832 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIMITRIOS KOSTOPOULOS Officer/Partner 718-707-6970 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2021-08-17 |
| Last Update Date | 2024-11-29 |