| NPI | 1417480575 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORAINE ANTOINE Owner 917-626-0530 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NY 029251) |
| Enumeration Date | 2017-04-06 |
| Last Update Date | 2017-04-06 |