| NPI | 1427331750 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PASTOR TAMAYO President 917-476-3012 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NY 016506) |
| Enumeration Date | 2011-09-22 |
| Last Update Date | 2011-09-22 |