| NPI | 1457670101 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOKAIRA DUVERGE Manager 718-205-4911 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NY 190946) |
| Enumeration Date | 2010-05-20 |
| Last Update Date | 2010-05-20 |