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 |