| NPI | 1457758658 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TEHILA BETH KAHAN Physical Therapist 718-252-3035 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: NY 029438-1) |
| Enumeration Date | 2014-12-03 |
| Last Update Date | 2014-12-03 |