NPI | 1508040650 |
---|---|
Entity Type | Organization |
Authorized Contact | KEYAN MA Doctor 718-888-1513 |
Organization Subpart ? | No |
Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine (Licence: NY 226971) |
Enumeration Date | 2007-12-26 |
Last Update Date | 2008-04-20 |