| NPI | 1427584630 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH PAGAOA ANDRES Physical Therapist 718-676-5775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2017-05-08 |
| Last Update Date | 2017-08-22 |