| NPI | 1497978522 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRENE MARIANO LAZCANO Owner 718-615-0800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NY 024082-1) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2010-03-12 |