| NPI | 1447736863 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VLADIMIR YELYEV Physical Therapist 718-775-8966 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 039320) |
| Enumeration Date | 2018-07-18 |
| Last Update Date | 2018-07-18 |