| NPI | 1497251904 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK W CHENG Owner 347-302-3470 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: OR MD183687) |
| Enumeration Date | 2018-04-03 |
| Last Update Date | 2018-05-11 |