| NPI | 1528223211 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL BARANOV Owner 718-975-3515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2008-07-23 |
| Last Update Date | 2025-02-10 |