| NPI | 1497837769 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIMA KALIKA Medical Director 718-282-0900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2013-09-25 |