| NPI | 1437196706 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BOGNAY DURY DOMANAS Owner Pysical Therapist 718-426-9595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 0259211) |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2013-12-23 |