| NPI | 1508018318 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLIVER TELLO Director 917-295-1025 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist Orthopedic (Licence: NY 028657) |
| Enumeration Date | 2008-10-13 |
| Last Update Date | 2015-11-13 |