| NPI | 1447584016 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BAYOMY MOUSTAFA Physical Therapist 718-768-3349 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 014472) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 014080) |
| 225100000X Physical Therapist (Licence: NY 0148911) | |
| Enumeration Date | 2009-09-29 |
| Last Update Date | 2009-09-29 |