| NPI | 1427190800 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YELENA ILINA President 718-336-1810 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NY 1974471) |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2020-08-22 |