| NPI | 1447789409 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABIODUN O ADEYEMI Operation Manager 917-405-8340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 014645) |
| Enumeration Date | 2017-06-05 |
| Last Update Date | 2017-06-05 |