| NPI | 1417181744 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE BISHAY Physical Therapist Supervisor 917-514-5152 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 022012) |
| Enumeration Date | 2009-05-14 |
| Last Update Date | 2009-05-14 |