| NPI | 1417307117 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIHUN KWAK President 516-456-8858 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: VA 2305207264) |
| Enumeration Date | 2016-06-14 |
| Last Update Date | 2016-06-14 |